Organization
M A MIRZA, LLC
Active
Other names
WHITE OAK PSYCHIATRIC SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED AZHER MIRZA M.D. (OWNER)
(816) 228-5335
Entity
Organization
Contact information
Practice address
4045 NE LAKEWOOD WAY, SUITE 130, LEES SUMMIT, MO 64064-1799
(816) 886-2184
(816) 886-2397
Mailing address
4045 NE LAKEWOOD WAY, SUITE 130, LEES SUMMIT, MO 64064-1799
(816) 886-2184
(816) 886-2397
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
RICIO
MO
Other
Enumeration date
05/09/2007
Last updated
03/21/2014
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