National Provider Identifier
Mohammad H Mirza, M.D.
Mohammad H Mirza, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Bath, NY and a listed phone number of (607) 776-4176.
Profile Overview
- NPI
- 1386646560
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- June 01, 2005
- Last Updated
- April 28, 2014
Practice Location
- 7603 Route 54
- Bath, NY 14810-7930
Phone: (607) 776-4176
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1386646560
- Entity Type
- Individual
- Last Name
- Mirza
- First Name
- Mohammad
- Middle Name
- H
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 7603 Route 54
- Mailing City
- Bath
- Mailing State
- NY
- Mailing ZIP Code
- 14810-7930
- Mailing Country
- US
- Mailing Phone
- (607) 776-4176
- Mailing Fax
- (607) 776-8032
- Practice Street Address
- 7603 Route 54
- Practice City
- Bath
- Practice State
- NY
- Practice ZIP Code
- 14810-7930
- Practice Country
- US
- Practice Phone
- (607) 776-4176
- Practice Fax
- (607) 776-8032
- Enumeration Date
- June 01, 2005
- Last Updated
- April 28, 2014
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 01236337 (NY)