Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
M A MIRZA, LLC
Deactivated OrganizationM A MIRZA, LLC is a Prescribing Psychologist organization located in LEES SUMMIT, Missouri. NPI 1376757617 is deactivated in the NPPES registry. Verify at CMS.
Prescribing Psychologist · LEES SUMMIT, MO
This NPI has been deactivated.
The record was deactivated on August 14, 2008.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1376757617
- Provider Type
- Organization
- NPI Issued
- May 9, 2007 (1.2657534246575 yrs)
- Last Updated
- Mar 21, 2014
- Deactivated
- Aug 14, 2008
- License
-
RICIO (MO)
Practice Information
- Address
-
4045 NE LAKEWOOD WAYSUITE 130LEES SUMMIT, MO, 640641799Browse MO providers · Browse ZIP 64064
- Phone
- 8168862184
- Fax
- 8168862397
- Primary Specialty
-
Prescribing Psychologist
103TP0016X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.