SANJIDA MIRZA MD NPI 1174564199

NPI Information

NPI: 1174564199
Provider Name: SANJIDA MIRZA, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address: 337 E 35TH ST
CHICAGO, IL
ZIP 60616
Phone: (312) 842-3547

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NPI Details

Sanjida Mirza, MD is a general practice in Chicago, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Sanjida Mirza, MD NPI is 1174564199. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

337 E 35TH ST
CHICAGO, IL
ZIP 60616
Phone: (312) 842-3547
Fax: (312) 842-1878

The enumeration date for this NPI number is 6/9/2006 and was last updated on 12/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		036066426	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1634708	OTHER	ILLINOIS	BCBS
2	P00166625	OTHER	ILLINOIS	RAILROAD MEDICARE
3	D93945	MEDICARE UPIN
4	036066426	MEDICAID	ILLINOIS
5	727030	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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