| NPI | 1922494681 |
|---|---|
| Former Legal Business Name | MORTEZA MIRKARIMI M.D., INC. |
| Entity Type | Organization |
| Authorized Contact | JOSHAN K SHAJAN Owner 646-652-1791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A39662) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2023-04-03 |