Individual
DR. RAEESA WAJAHAT MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 MOYE BLVD, ECU PHYSICIANS, GREENVILLE, NC 27834-4300
(252) 744-3258
Mailing address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2008-01504
NC
207RN0300X
Nephrology Physician
Primary
MD210002471
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5910778
—
NC
Enumeration date
07/25/2007
Last updated
08/29/2022
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