EHSUN RAZA MIRZA


Address: 455 Toll Gate Rd, Warwick, RI 02886-2759
Phone: 4017377010

EHSUN RAZA MIRZA (NPI# 1821049735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821049735
Entity Type Individual
Full Name EHSUN RAZA MIRZA
Other Name AHSAN RAZA MAHMOOD
Credential M.D.
Practice Address 455 Toll Gate Rd
Warwick
RI 02886-2759
Practice Telephone 4017377010
Practice Fax Number 4017364265
Mailing Telephone 4017377010
Mailing Fax Number 4017364265
Enumeration Date 2006-05-15
Last Update Date 2020-04-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
208611 MA Allopathic & Osteopathic Physicians
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
10606 RI Allopathic & Osteopathic Physicians
N 207RN0300X Internal Medicine
Specialization: Nephrology
208611 MA Allopathic & Osteopathic Physicians
N 207RN0300X Internal Medicine
Specialization: Nephrology
10606 RI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RI 7010558 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
101 Page St, New Bedford, MA 027403464 5089735918 5089735916

Office Location

Street Address 455 TOLL GATE RD
City WARWICK
State RI
Zip Code 02886-2759

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609872878 John Robert Audett Internal Medicine 455 Toll Gate Rd, Warwick, RI 02886-2759 2005-06-22
1003422775 Sabrina O'donnell Nurse Practitioner 455 Toll Gate Rd, Warwick, RI 02886-2770 2020-09-18
1477162733 Advait Kodoor Kothare Emergency Medicine 455 Toll Gate Rd, Warwick, RI 02886-2770 2020-07-23
1336758697 Ratib Talal Mahfouz Student in an Organized Health Care Education/Training Program 455 Toll Gate Rd, Warwick, RI 02886-2759 2020-07-23
1669081899 Ahmad Toumar Student in an Organized Health Care Education/Training Program 455 Toll Gate Rd, Warwick, RI 02886-2770 2020-07-23
1316556681 Osama Emad Batayneh Internal Medicine 455 Toll Gate Rd, Warwick, RI 02886-2770 2020-07-23
1922621614 Kent County Memorial Hospital Clinical Medical Laboratory 455 Toll Gate Rd, Warwick, RI 02886-2759 2020-05-28
1083237408 Jeannette Wright Student in an Organized Health Care Education/Training Program 455 Toll Gate Rd, Warwick, RI 02886-2759 2020-05-20
1730700204 Joshua Silva Emergency Medicine 455 Toll Gate Rd, Warwick, RI 02886-2759 2020-05-06
1548881998 Elizabeth Avery Lee Emergency Medicine 455 Toll Gate Rd, Warwick, RI 02886-2759 2020-04-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528694445 Sheri Lynn Sklarz Specialist 300 Quaker Lane, Miracle Ear Suite C15, Warwick, RI 02886 2020-03-23
1316581424 Dr. Degiulio & Associates Inc Optometrist 400 Bald Hill Road Ste 163, Warwick Mall, Warwick, RI 02886 2019-10-31
1255813291 Samantha Pena Moore Behavioral Analyst 3446 Post Road, Warwick, RI 02886 2018-09-06
1912496209 Martin Jude Cotti Internal Medicine 455 Toll Gate Rd., Warwick, RI 02886 2018-05-02
1447764261 Cynthia A Lessard Nurse Practitioner 15 Health Lane, Warwick, RI 02886 2017-12-01
1538687520 David A. Bennett Registered Nurse 2756 Post Road, Warwick, RI 02886 2017-08-30
1427585223 Brittany Teixeira Counselor 85 Earl Street, Warwick, RI 02886 2017-05-11
1497125199 Aiden Philip Cwynar Optometrist 1050 Centerville Road, Warwick, RI 02886 2015-10-07
1104221738 Wilfredo L Sancianco Dmd Inc Preferred Provider Organization 3411 W Shiore Rd, Warwick, RI 02886 2014-10-24
1831508662 Matthew Bryant Mitchell Physical Therapist 400 Bald Hill Rd #511, Warwick, RI 02886 2014-08-06
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Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154393486 John Anthony Cece Internal Medicine 1131 Warwick Ave, Warwick, RI 02888-3545 2006-02-02
1255502662 Warwick Medical Associates LLP Internal Medicine 5 Grand St, Warwick, NY 10990-1007 2008-03-13
1396864542 Kent County Memorial Hospital Internal Medicine 455 Toll Gate Rd, Warwick, RI 02886-2759 2007-03-28
1255467783 Seth Jason Koenig Internal Medicine 455 Toll Gate Rd, Warwick, RI 02886-2759 2007-02-26
1477529451 Michael J Dacey Jr. Internal Medicine 455 Toll Gate Rd, Warwick, RI 02886-2759 2006-02-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881089670 Navneet Singh Internal Medicine 2 Dudley St. Coop 1, Providence, RI 02905-3236 2015-03-30
1518989367 Michael Stanchina Internal Medicine 1285 S County Trl, East Greenwich, RI 02818-1620 2006-07-24
1134186067 David B Ettensohn Internal Medicine 73 Beechwood Avenue, Pawtucket, RI 02860 2006-04-26
1538155080 Mohammad D Khamiees Internal Medicine 3353 Mendon Rd Ste 3, Cumberland, RI 02864 2005-09-21
1093246399 Daniel Dustin Internal Medicine 593 Eddy St, Providence, RI 02903-4923 2017-03-27
1922400100 Southern Rhode Island Pulmonary and Critical Care, LLC Internal Medicine 100 Kenyon Ave, Wakefield, RI 02879-4216 2014-09-19
1164867875 Intensivists At Woonsocket Internal Medicine 115 Cass Ave, Woonsocket, RI 02895-4705 2013-05-08
1538402557 James Simmons Internal Medicine 593 Eddy St, Apc Building, 7th Floor, Providence, RI 02903-4923 2013-03-27
1700179942 Andrew Foderaro Internal Medicine 593 Eddy St, Providence, RI 02903-4923 2011-05-20
1811296692 United Hospitalist and Intensivist Group, Inc Internal Medicine 25 John A Cummings Way, Box 3, Woonsocket, RI 02895-3224 2011-03-20
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Competitor

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City WARWICK
Zip Code 02886

Improve Information

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Dataset Information

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.

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