Individual
SOHAIL K MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
4250 CHAIN BRIDGE RD, FAIRFAX, VA 22030-4214
(703) 828-6579
(571) 458-7336
Mailing address
4250 CHAIN BRIDGE RD, FAIRFAX, VA 22030-4214
(703) 828-6579
(571) 458-7336
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
0101261117
VA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
14258
NH
207XS0117X
Orthopaedic Surgery of the Spine Physician
34710
CO
207XS0117X
Orthopaedic Surgery of the Spine Physician
79154 8002
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
79228
MA
207XS0117X
Orthopaedic Surgery of the Spine Physician
MD00031150
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015431
—
VT
05
—
30208086
—
NH
Enumeration date
05/30/2006
Last updated
05/11/2017
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