Individual
OMAR MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9669 E 146TH ST STE 200, NOBLESVILLE, IN 46060-5008
(317) 621-6300
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02007662A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2021
Last updated
07/23/2024
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