Dr Ghulam R Mirza, MD - Medicare Internal Medicine in Grand Island, NE

Dr Ghulam R Mirza, MD is a medicare enrolled "Internal Medicine" physician in Grand Island, Nebraska. His current practice location is 2201 N Broadwell Ave, Grand Island, Nebraska. You can reach out to his office (for appointments etc.) via phone at (308) 382-3660.

Dr Ghulam R Mirza is licensed to practice in Nebraska (license number 21292) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083706469.

Contact Information

Dr Ghulam R Mirza, MD
2201 N Broadwell Ave,
Grand Island, NE 68803-2153
(308) 382-3660
Not Available



Physician's Profile

Full NameDr Ghulam R Mirza
GenderMale
SpecialityInternal Medicine
Location2201 N Broadwell Ave, Grand Island, Nebraska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083706469
  • Provider Enumeration Date: 09/29/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6608051503
  • Enrollment ID: I20150514002429

Medical Identifiers

Medical identifiers for Dr Ghulam R Mirza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083706469NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 21292 (Nebraska)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ghulam R Mirza is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ghulam R Mirza, MD
1619 W Charles St,
Grand Island, NE 68801-6316

Ph: (308) 384-1347
Dr Ghulam R Mirza, MD
2201 N Broadwell Ave,
Grand Island, NE 68803-2153

Ph: (308) 382-3660

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Internal Medicine Doctors in Grand Island, NE

Dr. Niraj Kumar Yadav, MBBS
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 2620 W Faidley Ave, Grand Island, NE 68803
Phone: 308-384-4600    
Dr. Nathan William Murdoch, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3610 Richmond Cir Ste 100, Grand Island, NE 68803
Phone: 308-398-6400    Fax: 308-398-6408
Dr. Clayton Jose Friesen, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3515 Richmond Circle, Grand Island, NE 68803
Phone: 308-381-8636    Fax: 308-381-8622
Swathi Lavudi, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3563 Prairieview St Ste 200, Grand Island, NE 68803
Phone: 308-382-2010    Fax: 308-382-9549
Dr. John A Wagoner, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 800 N Alpha St, Grand Island, NE 68803
Phone: 308-382-2010    Fax: 308-382-9549
Dr. Jeffrey K. King, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3515 Richmond Circle, Grand Island, NE 68803
Phone: 308-381-8636    Fax: 308-381-8622

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