Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 70812 | GA |
N | 208600000X | Surgeon | 70812 | GA |
N | 208200000X | Surgeon | ME108922 | FL |
N | 208600000X | Surgeon | ME108922 | FL |
N | 2086S0122X | Plastic and Reconstructive Surgery | 70812 | GA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | ME108922 | FL |
NPI | 1285827337 |
---|---|
Provider Name | Dr. Haaris Saadullah Mir |
First Address | Augusta, GA 30914-3725 |
Second Address | Miami, FL 33175-3530 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2007 |
Last Update Date | 01/02/2022 |