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HASSAN RIAZ MIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13020 N TELECOM PKWY, MCE SOUTH TOWER STE 4200, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 558-6187
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0915
(813) 978-9700
(813) 558-6186

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD437960
PA
207X00000X
Orthopaedic Surgery Physician
ME101597
FL
207XX0801X
Orthopaedic Trauma Physician
MD437960
PA
207XX0801X
Orthopaedic Trauma Physician
MD46461
TN
207XX0801X
Orthopaedic Trauma Physician
Primary
ME101597
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
026269300
FL
05
102368284
PA
01
2121091
HIGHMARK BLUE SHIELD
PA
01
957508
CAREFIRST MD BCBS
MD
01
PENDING
AETNA
FL
Enumeration date
04/11/2007
Last updated
09/18/2022
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