Mir-mustafa Mir-kasimov, MD is a medicare enrolled "Internal Medicine" physician in Tooele, Utah. His current practice location is
2055 N Main St, Tooele, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 463-7415.
Mir-mustafa Mir-kasimov is licensed to practice in Utah (license number 61209461205) 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 1841401155.
Physician's Profile
| Full Name | Mir-mustafa Mir-kasimov |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 2055 N Main St, Tooele, Utah |
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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:
- Mir-mustafa Mir-kasimov attended and graduated from in
NPI Data:
- NPI Number: 1841401155
- Provider Enumeration Date: 05/25/2007
- Last Update Date: 11/03/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mir-mustafa Mir-kasimov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841401155 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208M00000X | Hospitalist | 6120946-1205 (Utah) | Secondary |
| 207R00000X | Internal Medicine | 61209461205 (Utah) | Primary |
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. Mir-mustafa Mir-kasimov 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 |
|---|
Mir-mustafa Mir-kasimov, MD
370 E South Temple Ste 260,
Salt Lake City, UT 84111-1290
Ph: (801) 463-7415 | Mir-mustafa Mir-kasimov, MD
2055 N Main St,
Tooele, UT 84074-9819
Ph: (801) 463-7415 |
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