Mir-Kasimov, Mir-Mustafa

Mir-Kasimov, Mir-Mustafa is an individual health care provider with primary practice located at 2055 N Main St , Tooele UT 84074-9819. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mir-Kasimov, Mir-Mustafa can be contacted via phone (801) 463-7415.

Contact Information

Primary practice address
2055 N Main St Tooele UT 84074-9819
Phone: (801) 463-7415
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 6120946-1205 Utah
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 61209461205 Utah

Profile Details

NPI number 1841401155
LBN Legal business name Mir-Kasimov, Mir-Mustafa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Nov 3rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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