Individual
SULMAN A MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11204 WAPLES MILL RD, FAIRFAX, VA 22030-6036
(703) 218-8500
Mailing address
24608 SILTSTONE SQ, ALDIE, VA 20105-3001
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101256972
VA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
0101253972
VA
Other
Enumeration date
06/01/2012
Last updated
11/27/2023
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