Individual
DR. MOHAMMED MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036-160412
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-160412
STATE LICENSE
IL
Enumeration date
04/15/2016
Last updated
07/11/2025
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