Mirza, Ehsun Raza

Mirza, Ehsun Raza is an individual health care provider with primary practice located at 12200 Warwick Blvd Ste 290 , Newport News VA 23601-2344. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Mirza, Ehsun Raza can be contacted via phone (757) 534-5454.

Contact Information

Primary practice address
12200 Warwick Blvd Ste 290 Newport News VA 23601-2344
Phone: (757) 534-5454
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 0101271120 Virginia

Profile Details

NPI number 1821049735
LBN Legal business name Mirza, Ehsun Raza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jan 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821049735 NPPES
Rhode Island MEDICAID 7010558

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