Individual
MANSOOR HUSSAIN MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
48060
WI
208M00000X
Hospitalist Physician
48060
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132679
CIGNA
WI
05
—
34652100
—
WI
01
—
390806395002
TRICARE
WI
01
—
P00138179
NETWORK HEALTH PLAN
WI
01
—
P00252461
RAILROAD MEDICARE
WV
Enumeration date
08/29/2006
Last updated
03/20/2024
Update your record
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