Individual
FARHAT HASAN MIRZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0001
(301) 319-8342
(301) 319-4712
Mailing address
9510 ATWOOD RD, VIENNA, VA 22182-1403
(703) 573-5242
(703) 573-5242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101236910
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037289500
—
DC
Enumeration date
10/17/2006
Last updated
12/08/2023
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