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NPI Code Detail

MEDICARE: NADINE MIRZA

MEDICARE:   NADINE  MIRZA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist17035MD
2207Y00000XOtolaryngology Physician17035MD

General Provider Information

NPI Number : 1588318281
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADINE MIRZA
Provider Business Mailing Address
First Line : 6201 GREENLEIGH AVE
Second Line :
City : MIDDLE RIVER
State : MD
Zip : 21220-2004
Country : US
Telephone Number : 410-933-2704
Fax Number :
Provider Business Practice Location Address
First Line : 7600 OSLER DR STE 406
Second Line :
City : TOWSON
State : MD
Zip : 21204-7703
Country : US
Telephone Number : 410-802-1902
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2022
Last Update Date : 02/28/2024

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Directions to “ NADINE MIRZA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.