Dr. Medo Mirza
Pediatric Surgery
1432 S Dobson Rd Suite 301
Mesa
, Arizona 85202-4768
Dr. Medo Mirza
Pediatric Surgery
1432 S Dobson Rd Suite 301
Mesa
, Arizona 85202-4768
(480) 464-9401
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Dr. Medo Mirza
- 1432 S Dobson Rd Suite 301
- Mesa, AZ
- Zip : 85202-4768
- Fax : (480) 464-9401
- Phone : (480) 464-9400
Second Address
- Dr. Medo Mirza
- 1432 S Dobson Rd Suite 301
- Mesa, AZ
- Zip : 85202-4768
- Fax : (480) 464-9401
- Phone : (480) 464-9400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | 17426 | AZ |
National Provider Identifier
| NPI | 1528038478 |
|---|---|
| Provider Name | Dr. Medo Mirza |
| First Address | Mesa, AZ 85202-4768 |
| Second Address | Mesa, AZ 85202-4768 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2006 |
| Last Update Date | 23/04/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 27694001 | (05) | AZ |
| 27694001 | AHCCCS (01) | AZ |
| E89536 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.