Mirza, Mashhud M

Mirza, Mashhud M is an individual health care provider with primary practice located at 1120 State Highway 77 Ste 1, Marion AR 72364-9027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mirza, Mashhud M can be contacted via phone (870) 733-1177.

Contact Information

Primary practice address
1120 State Highway 77 Ste 1 Marion AR 72364-9027
Phone: (870) 733-1177
Fax: (870) 702-6128
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X E1005 Arkansas

Profile Details

NPI number 1528003050
LBN Legal business name Mirza, Mashhud M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Mar 2nd, 2010 - about 16 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 1528003050 NPPES
Tennessee Other 3154566 BLUE CROSS
Tennessee Other 5K483 BLUE CROSS
Tennessee MEDICAID 136518001 BLUE CROSS
Tennessee Other 110217316 BLUE CROSS

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