MUZAFFAR MIRZA NPI 1407022536

NPI Information

NPI: 1407022536
Provider Name: MUZAFFAR MIRZA
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
4501 S STATE ST
CHICAGO, IL
ZIP 60609
Phone: (773) 548-0600
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MUZAFFAR MIRZA is a dental clinic center in Chicago, IL. MUZAFFAR MIRZA NPI is 1407022536. The provider is registered as an organization entity type.

The provider's business location address is:

4501 S STATE ST
CHICAGO, IL
ZIP 60609-758
Phone: (773) 548-0600
Fax: (773) 548-0740

The provider's authorized official is Mona Mann .
The authorized official title is Insurance Coordinator and has the following contact phone number (773) 548-0600.

The enumeration date for this NPI number is 5/8/2008 and was last updated on 4/7/2014.

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	261QD0000X	Clinic/Center	Dental	019019459	ILLINOIS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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