Sohail K Mirza
Orthopaedic Spine Surgeon and 2 more
4250 Chain Bridge Rd
Fairfax
, Virginia 22030-4214
Sohail K Mirza
Orthopaedic Spine Surgeon and 2 more
4250 Chain Bridge Rd
Fairfax
, Virginia 22030-4214
(571) 458-7336
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About
Features
Specialties
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- Sohail K Mirza
- 4250 Chain Bridge Rd
- Fairfax, VA
- Zip : 22030-4214
- Fax : (571) 458-7336
- Phone : (703) 828-6579
Second Address
- Sohail K Mirza
- 4250 Chain Bridge Rd
- Fairfax, VA
- Zip : 22030-4214
- Fax : (571) 458-7336
- Phone : (703) 828-6579
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Is Sohail K Mirza a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207XS0117X | Orthopaedic Spine Surgeon | 0101261117 | VA |
| Y | 207XS0117X | Orthopaedic Spine Surgeon | 14258 | NH |
| N | 207XS0117X | Orthopaedic Spine Surgeon | 34710 | CO |
| N | 207XS0117X | Orthopaedic Spine Surgeon | 79154 8002 | CA |
| N | 207XS0117X | Orthopaedic Spine Surgeon | 79228 | MA |
| N | 207XS0117X | Orthopaedic Spine Surgeon | MD00031150 | WA |
National Provider Identifier
| NPI | 1063469393 |
|---|---|
| Provider Name | Sohail K Mirza |
| First Address | Fairfax, VA 22030-4214 |
| Second Address | Fairfax, VA 22030-4214 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/05/2006 |
| Last Update Date | 11/05/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1015431 | (05) | VT |
| 30208086 | (05) | NH |
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.