Provider Demographics
NPI:1710645171
Name:PIRZADA PSYCHIATRIC SERVICES INC
Entity Type:Organization
Organization Name:PIRZADA PSYCHIATRIC SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUSTAFA
Authorized Official - Middle Name:HASAN
Authorized Official - Last Name:PIRZADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-563-6262
Mailing Address - Street 1:4700 NW 2ND AVE STE 101102
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-4154
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4700 NW 2ND AVE STE 101102
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-4154
Practice Address - Country:US
Practice Address - Phone:561-563-6262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty