Individual
MOHAMMED Y MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 ABRAHAM FLEXNER WAY STE 850, LOUISVILLE, KY 40202-1858
(502) 562-0312
Mailing address
225 ABRAHAM FLEXNER WAY STE 850, LOUISVILLE, KY 40202-1858
(502) 562-0312
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
FT623
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FT623
MEDICAL LICENSE
KY
Enumeration date
09/21/2020
Last updated
09/21/2020
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