Individual
ADNAN MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33-57 HARRISON ST, JOHNSON CITY, NY 13790-2107
(607) 763-6622
(607) 763-5064
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 729-8156
(607) 729-3982
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
263090
NY
207R00000X
Internal Medicine Physician
MD427082
PA
208M00000X
Hospitalist Physician
Primary
263090
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02985431
—
NY
05
—
101507848
—
PA
Enumeration date
06/23/2006
Last updated
05/09/2012
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