Provider Demographics
NPI:1306070149
Name:PIRZADA, MUSTAFA HASAN (MD)
Entity type:Individual
Prefix:DR
First Name:MUSTAFA
Middle Name:HASAN
Last Name:PIRZADA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5645 CORAL RIDGE DR # 405
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076-3124
Mailing Address - Country:US
Mailing Address - Phone:954-724-6680
Mailing Address - Fax:954-726-6525
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:561-223-2974
Is Sole Proprietor?:No
Enumeration Date:2009-05-07
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME1121462084P0804X, 2084P0800X
CAA1282022084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry