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

Natasha Mirza, MD

Individual provider Plastic Surgery within the Head & Neck (Otolaryngology) Physician · NPI 1508895020

Natasha Mirza, MD is an Otolaryngology in Philadelphia, Pennsylvania. Qualified in 1983, 43 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
43
Licensed in
PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3400 Civic Center Blvd South Pavilion 3rd Fl
Philadelphia, PA 19104-5127
Phone: (215) 662-2777
Fax: (215) 662-4613
Show map & directions

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

Additional practice locations (1)

  • 3900 Woodland Ave, Philadelphia, PA 19104-4551 — (215) 662-2777

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence MD050143L (PA)
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Taxonomy 207YX0007X · Licence MD050143L (PA)

Record details

NPI number1508895020
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address3400 Civic Center Blvd, South Pavilion, 3rd Floor, Philadelphia, PA 19104-5127

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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