Individual
RIAZ AHMAD MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
63 SHAKER RD STE G04, ALBANY, NY 12204-1030
(518) 439-1307
Mailing address
63 SHAKER RD STE G04, ALBANY, NY 12204-1030
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
117268
NY
208600000X
Surgery Physician
Primary
117268
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00468979
—
NY
Enumeration date
02/07/2006
Last updated
12/18/2024
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