DR. FAZIA AHMED MIR (NPI# 1679886394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679886394 |
| Entity Type | Individual |
| Full Name | DR. FAZIA AHMED MIR |
| Credential | M.D |
| Practice Address |
2211 Lomas Blvd Ne Albuquerque NM 87106-2719 |
| Mailing Address |
888 Diehnwells Dr Saint Louis MO 63119-5456 |
| Practice Telephone | 5052721476 |
| Mailing Telephone | 3169907007 |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2018-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD2016-0892 | NM | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 2010019841 | MO | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3635 Vista Ave, Saint Louis, MO 631102539 | 3149778000 |
| Street Address |
2211 LOMAS BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-2719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902016 | Gloria Doherty | Nurse Practitioner | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2005-06-15 |
| 1427659127 | Letitia Tomaszewski | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-08 |
| 1467053116 | Luis Aaron Trillo | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-07 |
| 1215538095 | Rafael Alejandro Fernandez-mancha | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-06 |
| 1144821950 | Jaylee Caruso | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-06 |
| 1508467648 | Christine Hsu Teng | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-05 |
| 1649871641 | Martin Jurado | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-05 |
| 1912508284 | Joshua Marquez | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-04 |
| 1609477850 | Jessica Elena Larsen | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-04 |
| 1619578879 | Kevin A Martinez | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1649688698 | Rishabh Gulati | Internal Medicine | Department of Internal Medicine Msc 10 5550, 1, University of New Mexico, Albuquerque, NM 87131-0001 | 2014-07-22 |
| 1033371307 | Jessica Chloe Ryder | Internal Medicine | 4705 Montgomery Blvd Ne Ste 102, Albuquerque, NM 87109-1246 | 2008-06-27 |
| 1235223629 | Nicholas A Volpicelli | Internal Medicine | 1001 Silver Ave Se Ste 200, Pmg Gi Silver, Albuquerque, NM 87106-4904 | 2006-10-03 |
| 1083636641 | Vinod Kumar Singh | Internal Medicine | 5400 Gibson Blvd Se Fl 2, Albuquerque, NM 87108 | 2006-07-24 |
| 1083649297 | Barry A Weiss | Internal Medicine | Pmg At 8300 Constitution - Gi, 8300 Constituiton Ave Ne, Albuquerque, NM 87110 | 2006-07-12 |
| 1538121595 | Denis Matthew Mccarthy | Internal Medicine | Nmvahcs-111f, 1501 San Pedro Blvd. Se, Albuquerque, NM 87108-5153 | 2006-04-05 |
| 1609849975 | Jeff Scott Zabel | Internal Medicine | 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 | 2006-02-08 |
| 1386643708 | Joseph Alcorn | Internal Medicine | 1001 Dr Martin Luther King Jr Ave Ne, Unm Digestive Disease Clinic, Albuquerque, NM 87106-4713 | 2005-07-18 |
| 1265094965 | Christopher Raymond Fredericks | Internal Medicine | 1100 Lead Ave Se, Albuquerque, NM 87106-5215 | 2019-07-02 |
| 1467795666 | Aleksandr Birg | Internal Medicine | Msc10 5550, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2013-04-05 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
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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.