Mirza, Farooq A

Mirza, Farooq A is an sole proprietor health care provider with primary practice located at 309 11Th St , Carrollton KY 41008-1435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mirza, Farooq A can be contacted via phone (502) 732-3799.

Contact Information

Primary practice address
309 11Th St Carrollton KY 41008-1435
Phone: (502) 732-3799
Fax: (502) 732-8551
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 44235 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 20006 Kentucky

Profile Details

NPI number 1245259910
LBN Legal business name Mirza, Farooq A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Sep 24th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245259910 NPPES
Kentucky Other 20006 STATE LICENSE NUMBER
Kentucky MEDICAID 64866247 STATE LICENSE NUMBER

Popular Providers