TARIQ MIRZA M.D. NPI 1639195654

NPI Information

  • NPI: 1639195654
  • Provider Name: TARIQ MIRZA, M.D.
  • Classification: Medical Genetics, Ph.D. Medical Genetics - 170100000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3609 OAKDALE RD
    SUITE 5
    MODESTO, CA
    ZIP 95357
  • Phone: (209) 551-8888

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NPI Details

Tariq Mirza, M.D. is a medical genetics phd medical genetics in Modesto, CA with 44 years of experience. The provider is a medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. Tariq Mirza, M.D. NPI is 1639195654. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3609 OAKDALE RD
SUITE 5
MODESTO, CA
ZIP 95357-718
Phone: (209) 551-8888
Fax: (209) 551-0412

The NPI 1639195654 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Extended patient service without direct patient contact, first hour (HCPCS:99358)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 7/14/2006 and was last updated on 7/8/2007.

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
1170100000XMedical Genetics, Ph.D. Medical GeneticsA84987CALIFORNIAYes

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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