Provider Demographics
NPI:1285319152
Name:MIRZA, MUHAMMAD USAMA ZAFAR (MD)
Entity type:Individual
Prefix:
First Name:MUHAMMAD USAMA ZAFAR
Middle Name:
Last Name:MIRZA
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:SAINT ELIZABETH MEDICAL CENTER
Mailing Address - Street 2:736 CAMBRIDGE STREET, BRIGHTON
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135
Mailing Address - Country:US
Mailing Address - Phone:617-506-2726
Mailing Address - Fax:
Practice Address - Street 1:STEWARD CARNEY HOSPITAL 2100 DORCHESTER AVENUE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02124
Practice Address - Country:US
Practice Address - Phone:617-506-2726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-19
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3014559207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine