Mashhud M Mirza, MD | |
1120 State Highway 77, Ste 1, Marion, AR 72364-9027 | |
(870) 733-1177 | |
(870) 702-6128 |
Full Name | Mashhud M Mirza |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 34 Years |
Location | 1120 State Highway 77, Marion, Arkansas |
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 |
---|---|---|---|
1528003050 | NPI | - | NPPES |
3154566 | Other | TN | BLUE CROSS |
5K483 | Other | AR | BLUE CROSS |
136518001 | Medicaid | AR | |
110217316 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | E1005 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Davita - Renal Care Of Marion | Marion, AR | Dialysis facility |
Isd Renal Inc | Memphis, TN | Dialysis facility |
Davita - Osceola Renal Ctr | Osceola, AR | Dialysis facility |
Baptist Memorial Hospital-crittenden, Inc | West memphis, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mid-south Renal Clinic, Plc | 2062303795 | 2 |
Mid-south Renal Clinic, Plc | 2062303795 | 2 |
Entity Name | Mid-south Renal Clinic, Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093724346 PECOS PAC ID: 2062303795 Enrollment ID: O20040323000430 |
Mailing Address | Practice Location Address |
---|---|
Mashhud M Mirza, MD Po Box 55, Marion, AR 72364-0055 Ph: (870) 733-1177 | Mashhud M Mirza, MD 1120 State Highway 77, Ste 1, Marion, AR 72364-9027 Ph: (870) 733-1177 |
Dr. Asif Saeed Kazmi, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1120 State Highway 77 Ste 1, Marion, AR 72364 Phone: 870-733-1177 Fax: 870-702-6128 |