Individual
DR. MOBEN MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD MS 3016, DEPT OF UROLOGY - UNIV OF KS MEDICAL CTR, KANSAS CITY, KS 66160
(913) 588-7564
(913) 588-6668
Mailing address
3901 RAINBOW BLVD MS 3016, DEPT OF UROLOGY - UNIV OF KS MEDICAL CTR, KANSAS CITY, KS 66160
(913) 588-7564
(913) 588-6668
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
04-33818
KS
208800000X
Urology Physician
2004-0457
NM
208800000X
Urology Physician
2009011507
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200608190A
—
KS
Enumeration date
02/06/2007
Last updated
02/28/2018
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