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Contact Information

MICHAEL A MIRZAI, MD
1800 E INTERSTATE AVE STE B
BISMARCK, ND58503-1566
 Phone: 701-323-6543
 Fax: 701-323-5492
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for MICHAEL A MIRZAI · (Male)

NPI # 1508909540
Status Active
Credentials MD
Entity Individual
Enumeration date 02/15/2007
Last updated 08/21/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • HI License # 12616
  • ND License # 12502
  • TX License # K-6777
  • ND Medicaid 1452924
Hospital affiliation(s)
  • MAUI MEMORIAL MEDICAL CENTER - (Acute Care)
    221 MAHALANI STREET
    WAILUKU, HI 96793
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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