Provider Demographics
NPI:1659327724
Name:KHIR, MUIZ (MD)
Entity type:Individual
Prefix:
First Name:MUIZ
Middle Name:
Last Name:KHIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 SEAPORT DR
Mailing Address - Street 2:UNIT 2312
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02171-1582
Mailing Address - Country:US
Mailing Address - Phone:617-407-2323
Mailing Address - Fax:
Practice Address - Street 1:4499 ACUSHNET AVE
Practice Address - Street 2:NEWBEDFORD REHAB HOSPITAL
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02745-4707
Practice Address - Country:US
Practice Address - Phone:508-995-6900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA228036208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA41018Medicare PIN