Organization
TARIQ H MIRZA MD INC
Active
Organization
TARIQ H MIRZA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARIQ H MIRZA MD (PRESIDENT)
(404) 366-0303
Entity
Organization
Contact information
Practice address
5038 OLD DIXIE HWY, FOREST PARK, GA 30297-2148
(404) 366-0303
(678) 228-2021
Mailing address
5038 OLD DIXIE HWY, FOREST PARK, GA 30297-2148
(404) 366-0303
(678) 228-2021
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
032961
GA
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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