Provider Demographics
NPI:1922449974
Name:BEG, MIRZA MOAZAM (MD)
Entity Type:Individual
Prefix:DR
First Name:MIRZA
Middle Name:MOAZAM
Last Name:BEG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8300 CONSTITUTION AVE NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-7613
Mailing Address - Country:US
Mailing Address - Phone:505-291-2222
Mailing Address - Fax:505-291-2440
Practice Address - Street 1:8300 CONSTITUTION AVE NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110
Practice Address - Country:US
Practice Address - Phone:505-291-2222
Practice Address - Fax:505-291-2440
Is Sole Proprietor?:No
Enumeration Date:2013-07-07
Last Update Date:2018-08-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NMMD2017-1061207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology