Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Waqar Ulislam Mirza MD

Organization Neurology Physician · NPI 1639534654

Waqar Ulislam Mirza MD is a Neurology Physician in Bridgeton, Missouri. Licensed in Missouri. Registered with an NPI since 2015.

Licensed in
MO
In the registry since
2015

Practice location Address checks out

12277 De Paul Dr Ste 401
Bridgeton, MO 63044-2516
Phone: (314) 628-1408
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence R4N72 (MO)

Record details

NPI number1639534654
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christina Fleming — Billing Office · (314) 628-1408
NPI enumeratedDecember 17, 2015
Last updated in NPPESDecember 17, 2015
Mailing addressPo Box 844010, Kansas City, MO 64184-4010

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