Individual
MAZDA BIRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9119 W 74TH ST STE 350, MERRIAM, KS 66204-2268
(913) 632-9400
(913) 632-9444
Mailing address
9119 W 74TH ST STE 350, MERRIAM, KS 66204-2268
(913) 632-9400
(913) 632-9444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0432319
KS
207R00000X
Internal Medicine Physician
2012024120
MO
207R00000X
Internal Medicine Physician
946196
KS
207RC0000X
Cardiovascular Disease Physician
0432319
KS
207RC0000X
Cardiovascular Disease Physician
Primary
2012024120
MO
207RC0001X
Clinical Cardiac Electrophysiology Physician
0432319
KS
207RC0001X
Clinical Cardiac Electrophysiology Physician
2012024120
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194847244
—
MO
Enumeration date
04/06/2007
Last updated
02/19/2025
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