Individual
NADEEM M MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
404 HAZEN ST, SUITE 104, PAW PAW, MI 49079-1040
(269) 657-1595
(269) 657-1534
Mailing address
404 HAZEN ST, SUITE 104, PAW PAW, MI 49079-1040
(269) 657-1595
(269) 657-1534
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301086227
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104995020
—
MI
05
—
1437159597
—
MI
01
—
700H060020
BCBSM
MI
Enumeration date
07/29/2005
Last updated
11/27/2023
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