ABSAR AHMAD MIRZA (NPI# 1265415541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265415541 |
| Entity Type | Individual |
| Full Name | ABSAR AHMAD MIRZA |
| Credential | MD |
| Practice Address |
4500 Hospital Blvd Ste 310 Roswell GA 30076 |
| Mailing Address |
805 Sandy Plains Road Medical Staff Services Marietta GA 30066-6340 |
| Practice Telephone | 7704104366 |
| Practice Fax Number | 7704104664 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2019-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
064864 | GA | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
064864 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | H47226 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 743 Spring Street, Gainesville, GA 305013175 | 7702192000 | 7702192675 |
| Street Address |
4500 HOSPITAL BLVD STE 310 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003073578 | Chirag D Popat | Internal Medicine | 4500 Hospital Blvd Ste 310, Roswell, GA 30076 | 2008-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780628016 | Carter Evan Mecher | Internal Medicine | 370 Hannaford Dr, Roswell, GA 30075-3272 | 2006-06-16 |
| 1912960618 | Vijay Chechani | Internal Medicine | 1717 W 2nd St Ste 172, Roswell, NM 88201-2027 | 2006-04-11 |
| 1538403407 | North Fulton Pulmonary Specialists, LLC | Internal Medicine | 2500 Hospital Blvd, Suite 420, Roswell, GA 30076-4907 | 2012-11-16 |
| 1386676476 | Daniel Joseph Nazon | Internal Medicine | 603 W Country Club Rd, Roswell, NM 88201-5211 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255812731 | Pierre David Villain | Internal Medicine | 9192 Dover St, Lithia Springs, GA 30122-3813 | 2018-08-23 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1093060303 | Jrmdinc | Internal Medicine | 4300 Southern Pines Dr, Evans, GA 30809-4287 | 2012-07-23 |
| 1275896896 | Nicholas M. Maurice | Internal Medicine | 1670 Clairmont Rd # 12c-189, Decatur, GA 30033-4004 | 2012-06-19 |
| 1457626913 | Seema S Tekwani | Internal Medicine | 49 Jesse Hill Jr Dr Se # 2c001, Division of Pulmonary and Critical Care Medicine, Atlanta, GA 30303-3049 | 2012-03-16 |
| 1033381900 | Andre Lavar Holder | Internal Medicine | 80 Jesse Hill Jr Dr Se Rm 2d012, Atlanta, GA 30303-3031 | 2008-03-31 |
| 1164607974 | David Emerson Green | Internal Medicine | 1670 Clairmont Rd, (rm 12c 193-mail Stop 151p), Atlanta Va Medical Center / Emory University, Decatur, GA 30033 | 2007-12-31 |
| 1538380464 | Ram Mohan Subramanian | Internal Medicine | 1365 Clifton Rd Ne Bldg B-1, Atlanta, GA 30322-1059 | 2007-05-01 |
| 1639259666 | Juan Carlos Armstrong | Internal Medicine | 4550 Cobb Parkway North Nw Ste 210, Acworth, GA 30101-4182 | 2006-10-16 |
| 1558374041 | John Wesley King, Jr. | Internal Medicine | 641 W Thomas St, Milledgeville, GA 31061-2337 | 2006-08-14 |
| Find all providers with the same taxonomy | ||||
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| 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.