Individual
MOHAMMED AZHER MIRZA
Active
Individual
MOHAMMED AZHER MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R1C10
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006543B
MEDICARE ID
MO
01
—
100419680A
MEDICAID
KS
01
—
10731160
BCBS OF KC
MO
05
—
H201651387
—
MO
01
—
MA4861001
MEDICARE ID
MO
Enumeration date
10/16/2006
Last updated
02/11/2016
Update your record
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