MEDICARE: IRFAN & MIRZA COMPANY

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
1	332B00000X	Durable Medical Equipment & Medical Supplies	7587	AZ

General Provider Information

NPI Number	:	1104916402
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IRFAN & MIRZA COMPANY

Provider Business Mailing Address
First Line	:	2755 SILVER CREEK RD
Second Line	:	SUITE NUMBER 215
City	:	BULLHEAD CITY
State	:	AZ
Zip	:	86442-7904
Country	:	US
Telephone Number	:	928-704-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1547 MOHAVE DR
Second Line	:
City	:	BULLHEAD CITY
State	:	AZ
Zip	:	86442-7735
Country	:	US
Telephone Number	:	928-234-0914
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. IRFAN MIRZA
Credential	:	MD
Telephone Number	:	928-704-6000

Provider Enumeration Date	:	10/15/2006
Last Update Date	:	08/22/2020

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