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Individual
MASHHUD M MIRZA
Active
Individual
MASHHUD M MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
E1005
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110217316
RAILROAD MEDICARE
—
05
—
136518001
—
AR
01
—
3154566
BLUE CROSS
TN
01
—
5K483
BLUE CROSS
AR
Enumeration date
06/18/2006
Last updated
03/02/2010
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