TARIQ MIRZA (NPI# 1639195654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639195654 |
| Entity Type | Individual |
| Full Name | TARIQ MIRZA |
| Credential | M.D. |
| Practice Address |
3609 Oakdale Rd Suite 5 Modesto CA 95357-0718 |
| Practice Telephone | 2095518888 |
| Practice Fax Number | 2095510412 |
| Mailing Telephone | 2095518888 |
| Mailing Fax Number | 2095510412 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | A84987 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962534719 | Tariq H Mirza | Internal Medicine | 5038 Old Dixie Hwy, Forest Park, GA 30297-2148 | 2007-03-09 |
| 1861435851 | Tariq Mirza | Emergency Medicine | 119 Coal Hollow Road, Pikeville, KY 41501 | 2006-06-14 |
| 1457319089 | Tariq Mirza | Pediatrics | 12606 Greenville Ave, Suite #104, Dallas, TX 75243-1921 | 2006-05-03 |
| Street Address |
3609 OAKDALE RD SUITE 5 |
| City | MODESTO |
| State | CA |
| Zip Code | 95357-0718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396195772 | Brent A Hill Chiropractic Inc | Chiropractor | 3609 Oakdale Rd, Suite 5, Modesto, CA 95357-0718 | 2016-06-16 |
| 1558691030 | John William Hill | Chiropractor | 3609 Oakdale Rd, Modesto, CA 95357 | 2010-01-06 |
| 1386837664 | Brian J Anderson | Chiropractor | 3609 Oakdale Rd, Ste 5, Modesto, CA 95357-0718 | 2007-08-21 |
| 1245337864 | Brent A Hill | Chiropractor | 3609 Oakdale Rd, Suite 5, Modesto, CA 95357-0718 | 2006-09-17 |
| 1568569192 | Hill Center for Integrative Medicine Inc | Chiropractor | 3609 Oakdale Rd, Suite 5, Modesto, CA 95357-0718 | 2006-09-17 |
| 1821194648 | Joe W Caporgno | Chiropractor | 3609 Oakdale Rd, Siute 5, Modesto, CA 95357-0718 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417280892 | Brighter Futures Therapeutic Learning Center | Occupational Therapist | 4715 Yosemite Boulevard, Modesto, CA 95357 | 2009-09-16 |
| 1205976859 | Jeffery R Anderson | Chiropractor | 3609 Oakdale Rd Ste 5, Modesto, CA 95357 | 2007-02-06 |
| 1881647360 | Paul W Embree | Surgery | 4543 Roselle Av, Modesto, CA 95357 | 2006-05-18 |
| 1124664461 | Michelle Sullivan | Speech-Language Pathologist | 4715 Yosemite Boulevard, Modesto, CA 95357 | 2019-11-21 |
| 1538529938 | Communication Station, Inc | Speech-Language Pathologist | 4605 Via Giardiano, Modesto, CA 95357-0661 | 2016-02-26 |
| 1801307491 | Brittany H Vass | Occupational Therapist | 4605 Via Giardiano, Modesto, CA 95357-0661 | 2017-10-23 |
| 1487015202 | Olga Christina De Leon | Speech-Language Pathologist | 4605 Via Giardiano, Modesto, CA 95357-0661 | 2016-03-08 |
| 1881239622 | Christian Buck | Registered Nurse | 4605 Via Altura, Modesto, CA 95357-0667 | 2019-11-15 |
| 1134261050 | Larry Cooper King | Hearing Instrument Specialist | 3520 Oakdale Rd. Ste. B, Modesto, CA 95357-0714 | 2007-02-14 |
| 1154935195 | Joseph Wisniewski | Physical Therapist | 3609 Oakdale Rd Ste 3, Modesto, CA 95357-0718 | 2020-09-08 |
| Find all providers in zip 95357 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073132767 | Deaunne Denmark | Medical Genetics, Ph.D. Medical Genetics | 373 S Monroe St Ste 202, San Jose, CA 95128-5126 | 2020-04-13 |
| 1578012498 | Andre Turner | Medical Genetics, Ph.D. Medical Genetics | 120 N 13th Ave Apt D, Upland, CA 91786-5584 | 2016-10-04 |
| 1568918712 | Plbc Medical Group, Inc | Medical Genetics, Ph.D. Medical Genetics | 8900 Wilshire Blvd, Suite 300, Beverly Hills, CA 90211 | 2016-08-28 |
| 1952856205 | Sana Alexandrovna Nodelman | Medical Genetics, Ph.D. Medical Genetics | 7224 Hillside Ave, 26, Los Angeles, CA 90046-2359 | 2016-08-16 |
| 1124496690 | Renz Lorenz Gatchalian | Medical Genetics, Ph.D. Medical Genetics | 2416 W Tennyson Rd Apt 308, Hayward, CA 94545-4158 | 2015-09-14 |
| 1285902080 | Gail Humble | Medical Genetics, Ph.D. Medical Genetics | 101 N PCh Hwy Ste 102, Redondo Beach, CA 90277-3149 | 2011-12-07 |
| 1598040784 | Maternal Fetal Medicine Medical Group of Southern California | Medical Genetics, Ph.D. Medical Genetics | 207 S. Santa Anita Street, Suite 338, Sangabriel, CA 91776-1160 | 2011-10-19 |
| 1518129048 | Dr Brian F Topkis A Medical Group | Medical Genetics, Ph.D. Medical Genetics | 2021 Mt Diablo Blvd #100, Walnut Creek, CA 94596 | 2008-06-26 |
| 1396946224 | Ramiro Futalan Sr. | Medical Genetics, Ph.D. Medical Genetics | 8292 Telegraph Rd, Downey, CA 90240-2277 | 2007-05-29 |
| 1518178110 | Fatolah Ferdowsian | Medical Genetics, Ph.D. Medical Genetics | 8845 E Crestview Ln, Anaheim, CA 92808-1664 | 2007-05-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TARIQ MIRZA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.