| Madiha A Mirza Md Pc | |
|
18 Limestone Dr Suite 10 Williamsville NY 14221-8602 | |
| (716) 633-0057 | |
| (716) 633-0378 |
| Full Name | Madiha A Mirza Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 18 Limestone Dr, Williamsville, New York |
| Authorized Official Name and Position | Madiha A Mirza (PRESIDENT) |
| Authorized Official Contact | 7166330057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madiha A Mirza Md Pc 18 Limestone Dr Suite 10 Williamsville NY 14221-8602 Ph: (716) 633-0057 | Madiha A Mirza Md Pc 18 Limestone Dr Suite 10 Williamsville NY 14221-8602 Ph: (716) 633-0057 |
| NPI Number | 1053534974 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5193746899 |
|---|---|
| Medicare Enrollment ID | O20051209000058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053534974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Madiha A Mirza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295854362 PECOS PAC ID: 5890760573 Enrollment ID: I20040826000998 |
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