Active NPIIndividual provider

Tahira F Mirza, MD

Surgery, Surgical Critical Care in Weymouth, Massachusetts

NPI Number1063690691
Practice location
55 Fogg RD, Weymouth, MA 02190-2432
Fax
781-878-6750
Last updated
August 24, 2021

Tahira F Mirza is a Surgery, Surgical Critical Care based in Weymouth, MA. Tahira F Mirza practices in Weymouth, MA and has the professional credentials of MD. The NPI Number for Tahira F Mirza is 1063690691 and holds a License No. 036-119777 (IL). The current practice location address for Tahira F Mirza is 55 Fogg RD, Weymouth, MA 02190-2432 and can be reached out via phone at 781-792-4121 and via fax at 781-878-6750.

Provider Profile Details

NPI Number
1063690691
Provider Name
Tahira F Mirza
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
55 Fogg RD, Weymouth, MA 02190-2432
Phone Number
781-792-4121
Fax Number
781-878-6750
Primary Taxonomy
Surgery, Surgical Critical Care · 2086S0102X
Sole Proprietor
No
Provider Enumeration Date
February 6, 2008
Last Update Date
August 24, 2021
Certification Date
August 24, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Fogg RD
Weymouth, MA 02190-2432
Zip
02190-2432
Phone Number
781-792-4121
Fax Number
781-878-6750
Weymouth, MA 02190Get directions →

Provider Business Mailing Address Details

Address
55 Fogg RD
Coastal Medical Associates
South Weymouth, MA 02190-2432
City
South Weymouth
State
MA
Zip
02190-2432
Phone Number
781-624-8000
Fax Number
781-878-6750

License Information

License Number (1)
036-119777
License State (1)
IL
Taxonomy (1)
Surgery · 208600000X
License Number (2)
042481
License State (2)
CT
Taxonomy (2)
Surgery, Surgical Critical Care · 2086S0102X
License Number (3)
4301072064
License State (3)
MI
Taxonomy (3)
Surgery, Surgical Critical Care · 2086S0102X
License Number (4)
257617
License State (4)
MA
Taxonomy (4)
Surgery, Surgical Critical Care · 2086S0102X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tahira F Mirza, MD?

The NPI number of Tahira F Mirza, MD is 1063690691. It was assigned on February 6, 2008 and is currently active in the NPPES registry.

What is the specialty of Tahira F Mirza, MD?

Tahira F Mirza, MD is registered under the primary taxonomy Surgery, Surgical Critical Care (code 2086S0102X), licensed in IL under license number 036-119777.

Where does Tahira F Mirza, MD practice?

The practice location is 55 Fogg RD, Weymouth, MA 02190-2432. The office can be reached at 781-792-4121 (phone) or 781-878-6750 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063690691 directly on the NPPES registry website.

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