Individual
MR. SAJEEL QAYUM MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 GODWIN BLVD, SUFFOLK, VA 23434-8038
(757) 967-8622
(757) 686-0541
Mailing address
501 SOUTH WASHINGTON AVE., SCRANTON, PA 18505
(570) 591-5153
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101281364
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/12/2021
Last updated
05/10/2024
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