Individual
SHAHRUKH A MIRZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1250 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6224
(610) 402-3110
(610) 402-3112
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA10740400
NJ
207R00000X
Internal Medicine Physician
MD435374
PA
208M00000X
Hospitalist Physician
Primary
25MA10740400
NJ
208M00000X
Hospitalist Physician
MD435374
PA
Other
Enumeration date
09/24/2008
Last updated
04/19/2023
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