Individual
THOMAS MIRZAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3815 E BELL RD, 4400, PHOENIX, AZ 85032-2122
(602) 788-7211
(602) 788-1890
Mailing address
3815 E BELL RD, 4400, PHOENIX, AZ 85032-2122
(602) 788-7211
(602) 788-1890
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
20A6865
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
892598
—
CA
Enumeration date
08/30/2005
Last updated
07/27/2016
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