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Individual

DR. KHURRAM R MIRZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10500 MONTGOMERY RD, MONTGOMERY, OH 45242-4402
(513) 865-2246
Mailing address
4685 FOREST AVE, CINCINNATI, OH 45212-3397

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30999
NE
207RN0300X
Nephrology Physician
Primary
35.142113
OH
208M00000X
Hospitalist Physician
2008016537
MO
208M00000X
Hospitalist Physician
35.142113
OH

Other

Enumeration date
07/08/2008
Last updated
12/18/2024
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