Provider Demographics
NPI:1508922592
Name:MIRZA-GEORGE, NAUREEN AZAMALI (MD)
Entity Type:Individual
Prefix:DR
First Name:NAUREEN
Middle Name:AZAMALI
Last Name:MIRZA-GEORGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NAUREEN
Other - Middle Name:
Other - Last Name:MIRZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:395 HICKEY BLVD
Mailing Address - Street 2:FL 5
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-2770
Mailing Address - Country:US
Mailing Address - Phone:215-680-5571
Mailing Address - Fax:
Practice Address - Street 1:5 CHRISTIAN ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147-4321
Practice Address - Country:US
Practice Address - Phone:215-680-5571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT184366207W00000X
PAMD434804207W00000X
CAA112459207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology