National Provider Identifier Database

SANJIDA MIRZA, MD – NPI #1174564199
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

SANJIDA MIRZA, MD
337 E 35TH ST
CHICAGO, IL60616
Phone: 312-842-3547
Fax: 312-842-1878
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for SANJIDA MIRZA

NPI Number 1174564199
Credentials MD
Entity Individual
Enumeration date 06/09/2006
Last updated 12/30/2008 - About 17 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 036066426
  • IL Medicaid: 036066426
  • IL Other: 1634708 BCBS
  • IL Other: P00166625 RAILROAD MEDICARE
Hospital affiliation n/a

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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