Mirza, Fazal-Ur-Rahman

Mirza, Fazal-Ur-Rahman is an sole proprietor health care provider with primary practice located at 17707 Studebaker Rd , Cerritos CA 90703-2640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mirza, Fazal-Ur-Rahman can be contacted via phone (562) 402-0688.

Contact Information

Primary practice address
17707 Studebaker Rd Cerritos CA 90703-2640
Phone: (562) 402-0688
Fax: (562) 402-3032
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A32119 California

Profile Details

NPI number 1184712333
LBN Legal business name Mirza, Fazal-Ur-Rahman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2006
Last updated Mar 7th, 2023 - about 3 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 1184712333 NPPES
California Other A32119 PHYSICIAN LICENSE
California Other WA32119A PHYSICIAN LICENSE

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