Provider Demographics
NPI:1518559335
Name:MIRZAKARIMOVA PLLC
Entity Type:Organization
Organization Name:MIRZAKARIMOVA PLLC
Other - Org Name:DINARA MIRZAKARIMOVA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF ORIENTAL MEDICINE, LAC
Authorized Official - Prefix:DR
Authorized Official - First Name:DINARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRZAKARIMOVA
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:703-344-5125
Mailing Address - Street 1:1001 CONNECTICUT AVE NW STE 428
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-5555
Mailing Address - Country:US
Mailing Address - Phone:703-344-5125
Mailing Address - Fax:855-955-1272
Practice Address - Street 1:1001 CONNECTICUT AVE NW STE 428
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5555
Practice Address - Country:US
Practice Address - Phone:202-709-8663
Practice Address - Fax:855-955-1272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty