Provider Demographics
NPI:1801613526
Name:MIRSAIDI PLLC
Entity type:Organization
Organization Name:MIRSAIDI PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRSAIDI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:602-502-7620
Mailing Address - Street 1:17900 N HAYDEN RD APT 270
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-6711
Mailing Address - Country:US
Mailing Address - Phone:602-502-7620
Mailing Address - Fax:
Practice Address - Street 1:9508 E RIGGS RD
Practice Address - Street 2:
Practice Address - City:SUN LAKES
Practice Address - State:AZ
Practice Address - Zip Code:85248-7531
Practice Address - Country:US
Practice Address - Phone:480-883-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty