Individual
KHURRAM MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 HIGHWAY 78 E, JASPER, AL 35501-8956
(205) 387-4401
Mailing address
7624 WARREN PKWY, FRISCO, TX 75034-4158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38136
AL
Other
Enumeration date
07/20/2012
Last updated
05/04/2020
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