| Waqar Ulislam Mirza Md | |
|
12277 De Paul Dr Suite 401 Bridgeton MO 63044-2516 | |
| (314) 628-1408 | |
| Not Available |
| Full Name | Waqar Ulislam Mirza Md |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 12277 De Paul Dr, Bridgeton, Missouri |
| Authorized Official Name and Position | Christina Fleming (BILLING OFFICE) |
| Authorized Official Contact | 3146281408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waqar Ulislam Mirza Md Po Box 844010 Kansas City MO 64184-4010 Ph: (314) 628-1408 | Waqar Ulislam Mirza Md 12277 De Paul Dr Suite 401 Bridgeton MO 63044-2516 Ph: (314) 628-1408 |
| NPI Number | 1639534654 |
|---|---|
| Provider Enumeration Date | 12/17/2015 |
| Last Update Date | 12/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639534654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | R4N72 (Missouri) | Primary |
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