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NPI Code Detail

MEDICARE: DR. MUHAMMED RASHID MIRZA MD

MEDICARE: DR. MUHAMMED RASHID 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
1207R00000XInternal Medicine Physician4301064585MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20100647012OTHERMIBCBSM
364RO1184OTHERMIHEALTH PLUS

General Provider Information

NPI Number : 1437156015
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MUHAMMED RASHID MIRZA MD
Provider Business Mailing Address
First Line : PO BOX 430
Second Line :
City : STANDISH
State : MI
Zip : 48658-0430
Country : US
Telephone Number : 989-846-3555
Fax Number : 989-846-3546
Provider Business Practice Location Address
First Line : 805 W CEDAR ST
Second Line :
City : STANDISH
State : MI
Zip : 48658-9526
Country : US
Telephone Number : 989-846-3555
Fax Number : 989-846-3546
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 12/23/2009

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