Imran A Mirza, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Deptford, New Jersey. His current practice location is
1132 Cooper St, Deptford, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(856) 848-8060.
Imran A Mirza is licensed to practice in Pennsylvania (license number MD431989) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376573204.
Physician's Profile
| Full Name | Imran A Mirza |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1132 Cooper St, Deptford, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Imran A Mirza attended and graduated from in
NPI Data:
- NPI Number: 1376573204
- Provider Enumeration Date: 07/04/2006
- Last Update Date: 09/22/2014
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Imran A Mirza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376573204 | NPI | - | NPPES |
| 1019810230002 | Medicaid | PA | |
| 1019810230001 | Medicaid | PA | |
| 1980195 | Other | PA | BS HIGHMARK |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 25MA08024700 (New Jersey) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | MD431989 (Pennsylvania) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | 25MA08024700 (New Jersey) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Imran A Mirza is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Imran A Mirza, MD
Po Box 69,
Mickleton, NJ 08056-0069
Ph: (856) 381-9598 | Imran A Mirza, MD
1132 Cooper St,
Deptford, NJ 08096-3014
Ph: (856) 848-8060 |
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