Individual
DR. SYED HAMAD MIRZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
52 W UNDERWOOD ST DEPT OF, ORLANDO, FL 32806-1110
(321) 842-8475
Mailing address
52 W UNDERWOOD ST DEPT OF, ORLANDO, FL 32806-1110
(321) 842-8475
(407) 849-6470
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
269529
MA
2085R0202X
Diagnostic Radiology Physician
Primary
ME142677
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104583200
—
FL
01
—
9OZZC
BCBS
FL
01
—
O5803
MEDICARE PTAN OHRI
FL
01
—
PT381
MEDICARE PTAN OHMG
FL
Enumeration date
07/05/2012
Last updated
03/28/2023
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