DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1265415541

NPI Code Detail

MEDICARE: ABSAR AHMAD MIRZA MD

MEDICARE: ABSAR AHMAD MIRZA MD

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	207RN0300X	Nephrology Physician	064864	GA
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	064864	GA
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	23260	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265415541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABSAR AHMAD MIRZA MD

Provider Business Mailing Address
First Line	:	805 SANDY PLAINS ROAD
Second Line	:	MEDICAL STAFF SERVICES
City	:	MARIETTA
State	:	GA
Zip	:	30066-6340
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	890 W FARIS RD STE 580
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29605-4281
Country	:	US
Telephone Number	:	864-455-7874
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2005
Last Update Date	:	12/11/2020

Similar Medicare Providers

1043505670 — SEAN P CALLAHAN M.D.
Practice Location Address:

890 W FARIS RD STE 580
GREENVILLE, SC
29605-4281

Practice Phone: 864-455-7874
Practice Fax: 864-455-8933

1891180980 — MICHAEL J KASTER M.D.
Practice Location Address:

890 W FARIS RD STE 580
GREENVILLE, SC
29605-4281

Practice Phone: 864-455-7874
Practice Fax: 864-455-8933

1710525100 — RUBY CONTRERAS FNP
Practice Location Address:

890 W FARIS RD STE 470
GREENVILLE, SC
29605-4281

Practice Phone: 864-455-1600
Practice Fax:

1811266018 — RENZO HAROLDO HIDALGO-CABRERA MD
Practice Location Address:

890 W FARIS RD STE 580
GREENVILLE, SC
29605-4281

Practice Phone: 864-455-7874
Practice Fax: 864-455-8933

1801178645 — DR. DANIEL LOVERDE D.O.
Practice Location Address:

890 W FARIS RD STE 580
GREENVILLE, SC
29605-4281

Practice Phone: 864-455-7874
Practice Fax: 864-455-8933

1639416290 — ARMINE MKRTCHYAN M.D.
Practice Location Address:

890 W FARIS RD STE 580
GREENVILLE, SC
29605-4281

Practice Phone: 864-455-7874
Practice Fax:

Directions to “ ABSAR AHMAD MIRZA MD” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.