DR. MICHAEL AV MIRZAI MD NPI 1508909540

NPI Information

NPI: 1508909540
Provider Name: DR. MICHAEL AV MIRZAI, MD
Classification: Psychiatry & Neurology - 2084P0804X
Specialization: Child & Adolescent Psychiatry
Entity Type: Individual
PECOS Registration: Yes
Address: 1800 E INTERSTATE AVE STE B
BISMARCK, ND
ZIP 58503
Phone: (701) 323-6543

Map and Directions

Get Directions

NPI Details

DR. Michael Av Mirzai, MD is a child and adolescent psychiatry psychiatry neurology in Bismarck, ND with 30 years of experience. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Michael Av Mirzai, MD NPI is 1508909540. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduation Year:1996

The provider's business location address is:

1800 E INTERSTATE AVE STE B
BISMARCK, ND
ZIP 58503-566
Phone: (701) 323-6543
Fax: (701) 323-5492

The NPI 1508909540 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 8/21/2020.

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	2084P0800X	Psychiatry & Neurology	Psychiatry	12616	HAWAII	No
2	2084P0800X	Psychiatry & Neurology	Psychiatry	K-6777	TEXAS	No
3	2084P0800X	Psychiatry & Neurology	Psychiatry	12502	NORTH DAKOTA	No
4	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	12502	NORTH DAKOTA	Yes
5	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	K-6777	TEXAS	No
6	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	12616	HAWAII	No

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	1452924	MEDICAID	NORTH DAKOTA

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI