Dr Mohammed Omer Mirza, MD | |
20 York St, New Haven, CT 06510-3220 | |
(203) 688-4242 | |
Not Available |
Full Name | Dr Mohammed Omer Mirza |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 8 Years |
Location | 20 York St, New Haven, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942654033 | NPI | - | NPPES |
036-160412 | Other | IL | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 036-160412 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Central Dupage Hospital | Winfield, IL | Hospital |
Valley West Community Hospital | Sandwich, IL | Hospital |
Delnor Community Hospital | Geneva, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiology Subspecialists Of Northern Illinois Llc | 2264717925 | 30 |
Entity Name | Radiology Subspecialists Of Northern Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104378942 PECOS PAC ID: 2264717925 Enrollment ID: O20170320000767 |
Mailing Address | Practice Location Address |
---|---|
Dr Mohammed Omer Mirza, MD 20 York St, New Haven, CT 06510-3220 Ph: (203) 688-4242 | Dr Mohammed Omer Mirza, MD 20 York St, New Haven, CT 06510-3220 Ph: (203) 688-4242 |
Genevieve Maquilan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 35 Park St, New Haven, CT 06519 Phone: 203-200-2100 | |
Arthur H Knowlton, MD Radiology Medicare: Medicare Enrolled Practice Location: 1450 Chapel St, New Haven, CT 06511 Phone: 203-789-3131 Fax: 203-789-3133 | |
Ariel Kanevsky, Radiology Medicare: Accepting Medicare Assignments Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-200-5590 | |
Caroline R Taylor, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 20 York St, Ynhh South Pavilion, 2nd Fl, New Haven, CT 06510 Phone: 203-688-2433 Fax: 203-688-9258 | |
Cheng-han Lee, MD Radiology Medicare: Medicare Enrolled Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-2433 | |
J E Fredrik Zetterberg, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1450 Chapel St, New Haven, CT 06511 Phone: 203-789-3124 Fax: 203-789-4118 | |
Cindy Renee Miller, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 20 York St, Ynhh Children's Hospital - Wp-2, New Haven, CT 06510 Phone: 203-688-2433 Fax: 203-688-9258 |