Individual
DR. FARYAL G MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
142 S MAIN ST, DANVILLE, VA 24541-2922
(434) 799-2225
Mailing address
142 S MAIN ST, DANVILLE, VA 24541-2922
(434) 799-2225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101275694
VA
207R00000X
Internal Medicine Physician
0116034688
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2019
Last updated
06/30/2022
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