Individual
ZULFIQAR ALI MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2705 N LEBANON ST STE 342, LEBANON, IN 46052-8621
(765) 485-8740
(765) 485-8749
Mailing address
2605 N LEBANON ST, LEBANON, IN 46052-1476
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01063791A
IN
207RI0011X
Interventional Cardiology Physician
01063791A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200884320
—
IN
Enumeration date
12/21/2006
Last updated
10/11/2023
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