MUQTADIR A MIRZA M.D.
NPI 1457606014
Student in an Organized Health Care Education/Training Program in Charleston, WV
About Muqtadir A Mirza M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MUQTADIR A MIRZA M.D. (NPI 1457606014) is an individual student in an organized health care education/training program in Charleston, West Virginia and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Muqtadir A Mirza M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLESTON, WV 25304
CHARLESTON, WV 25304
CHARLESTON, WV 25304
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Muqtadir Mirza's NPI number?
The NPI number for Muqtadir Mirza is 1457606014. It was assigned to this individual provider in the NPPES registry on July 19, 2012. The provider is also known as Dr. Amir Mirza M.D..
Where is Muqtadir Mirza located?
Muqtadir Mirza practices at 3200 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 388-1020.
What is Muqtadir Mirza's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Muqtadir Mirza enrolled in Medicare?
Yes. Muqtadir Mirza is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Muqtadir Mirza was last updated on July 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Muqtadir A Mirza, M.D. · NPI 1457606014
Student in an Organized Health Care Education/Training Program provider in Charleston, West Virginia. Individual provider, active in the CMS NPPES registry since July 19, 2012.
## Identity
- **NPI:** 1457606014 (Entity type: Individual)
- **Enumerated:** July 19, 2012
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3200 MACCORKLE AVE SE, Charleston, WV 25304-1227
- **Phone:** (304) 388-1020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** July 22, 2015
---
Source: [NPI Profile](https://npiprofile.com/npi/1457606014) · Data from the CMS NPPES public registry.