Individual
DR. MEDO MIRZA
Active
Individual
DR. MEDO MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
17426
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27694001
AHCCCS
AZ
05
—
27694001
—
AZ
Enumeration date
01/24/2006
Last updated
04/23/2009
Update your record
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