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Individual

DR. EHSUN RAZA MIRZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12200 WARWICK BLVD STE 290, NEWPORT NEWS, VA 23601-2344
(757) 534-5454
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0101271120
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7010558
RI
Enumeration date
05/15/2006
Last updated
07/08/2025
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