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Individual

DR. RIZVAN A MIRZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051
(626) 775-3514

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2006-00956
NC
2085R0202X
Diagnostic Radiology Physician
44164
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
C146904
CA
2085R0202X
Diagnostic Radiology Physician
MD00048041
WA
2085R0202X
Diagnostic Radiology Physician
ME104259
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
220978
L&I
WA
05
8481381
WA
01
P00434276
RAILROAD MEDICARE
WA
Enumeration date
07/27/2006
Last updated
03/07/2023
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