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WAQAR ULISLAM MIRZA MD NPI 1639534654


NPI Information

NPI: 1639534654
Provider Name: WAQAR ULISLAM MIRZA MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
12277 DE PAUL DR
SUITE 401
BRIDGETON, MO
ZIP 63044
Phone: (314) 628-1408
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WAQAR ULISLAM MIRZA MD is a neurology psychiatry neurology in Bridgeton, MO. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. WAQAR ULISLAM MIRZA MD NPI is 1639534654. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12277 DE PAUL DR
SUITE 401
BRIDGETON, MO
ZIP 63044-516
Phone: (314) 628-1408

The provider's authorized official is Christina Fleming .
The authorized official title is Billing Office and has the following contact phone number (314) 628-1408.

The enumeration date for this NPI number is 12/17/2015 and was last updated on 12/17/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyR4N72MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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