Provider Demographics
NPI:1174886642
Name:HYPERHEAL HYPERBARICS INC
Entity type:Organization
Organization Name:HYPERHEAL HYPERBARICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ZIAD
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-433-4300
Mailing Address - Street 1:110 OLD PADONIA ROAD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030
Mailing Address - Country:US
Mailing Address - Phone:410-433-4300
Mailing Address - Fax:401-832-3119
Practice Address - Street 1:110 OLD PADONIA ROAD
Practice Address - Street 2:SUITE 102
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030
Practice Address - Country:US
Practice Address - Phone:410-433-4300
Practice Address - Fax:401-832-3119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-20
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD249147Medicare PIN