| Pirzada Psychiatric Services Inc | |
|
4700 Nw 2nd Ave Ste 101102 Boca Raton FL 33431-4154 | |
| (561) 563-6262 | |
| (561) 223-2974 |
| Full Name | Pirzada Psychiatric Services Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4700 Nw 2nd Ave Ste 101102, Boca Raton, Florida |
| Authorized Official Name and Position | Mustafa Pirzada (OWNER) |
| Authorized Official Contact | 5615636262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pirzada Psychiatric Services Inc 5645 Coral Ridge Dr Coral Springs FL 33076-3124 Ph: (954) 856-0150 | Pirzada Psychiatric Services Inc 4700 Nw 2nd Ave Ste 101102 Boca Raton FL 33431-4154 Ph: (561) 563-6262 |
| NPI Number | 1609478064 |
|---|---|
| Provider Enumeration Date | 11/11/2020 |
| Last Update Date | 03/07/2023 |
| Certification Date | 04/22/2022 |
| Medicare PECOS PAC ID | 0941613764 |
|---|---|
| Medicare Enrollment ID | O20210114002900 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609478064 | NPI | - | NPPES |
| ME112146 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Mustafa H Pirzada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306070149 PECOS PAC ID: 5698919504 Enrollment ID: I20130916000444 |
| Provider Name | Khurram Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053666420 PECOS PAC ID: 2860709938 Enrollment ID: I20150922002258 |
| Provider Name | Jodi Karen Weinstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003051095 PECOS PAC ID: 6406268515 Enrollment ID: I20201215000496 |
| Provider Name | Ali M Rehman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144906801 PECOS PAC ID: 6608225297 Enrollment ID: I20231207002577 |
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