# SHIRWAN A MIRZA, MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Endocrinology, Diabetes, and Metabolism, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376637256
- **Authorized official:** DR. SHIRWAN A MIRZA MD (OWNER)
- **Authorized official phone:** (315) 282-0071

## Contact information

- **Practice address:** 399 GRANT AVENUE RD, SUITE 1, AUBURN, NY 13021-8202
- **Practice address phone:** (315) 282-0071
- **Practice address fax:** (315) 282-0077
- **Mailing address:** 399 GRANT AVENUE RD, SUITE 1, AUBURN, NY 13021-8202
- **Mailing address phone:** (315) 282-0071
- **Mailing address fax:** (315) 282-0077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 221927 | NY | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 09/09/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02959424 | — | NY |