Mirzai, Michael Av

Mirzai, Michael Av is an sole proprietor health care provider with primary practice located at 1800 E Interstate Ave Ste B , Bismarck ND 58503-1566. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Mirzai, Michael Av can be contacted via phone (701) 323-6543.

Contact Information

Primary practice address
1800 E Interstate Ave Ste B Bismarck ND 58503-1566
Phone: (701) 323-6543
Fax: (701) 323-5492
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 12502 North Dakota
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X K-6777 Texas
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 12616 Hawaii
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 12616 Hawaii
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X K-6777 Texas
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 12502 North Dakota

Profile Details

NPI number 1508909540
LBN Legal business name Mirzai, Michael Av
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Aug 21st, 2020 - about 6 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 1508909540 NPPES
North Dakota MEDICAID 1452924

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