Individual
DR. IRFAN M MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 S LOLA LN STE 200, PAHRUMP, NV 89048-0879
(928) 768-2558
(928) 788-2039
Mailing address
5653 S HIGHWAY 95, FORT MOHAVE, AZ 86426-6068
(928) 768-2558
(928) 768-2874
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
28306
AZ
207RC0000X
Cardiovascular Disease Physician
Primary
28306
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
519332
—
AZ
Enumeration date
04/26/2006
Last updated
07/28/2023
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