Individual
MR. MIRZA T HAMIRANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 GRAND CENTRAL MALL, SUITE #9, VIENNA, WV 26105-4100
(304) 834-3970
(304) 916-1871
Mailing address
800 GRAND CENTRAL MALL, SUITE #9, VIENNA, WV 26105-4100
(304) 834-3970
(304) 916-1871
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
20965
WV
207RN0300X
Nephrology Physician
35-08-1948-H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110247849
RAILROAD MEDICARE
—
05
—
2004024-000
—
WV
05
—
2386403
—
OH
Enumeration date
03/14/2006
Last updated
06/18/2012
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