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

Tariq Mirza, MD

Individual provider Ph.D. Medical Genetics · NPI 1639195654

Tariq Mirza, MD is a Pain Management in Modesto, California. Qualified in 1982, 44 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
44
Licensed in
CA
In the registry since
2006
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

3609 Oakdale Rd Ste 5
Modesto, CA 95357-0718
Phone: (209) 551-8888
Fax: (209) 551-0412
Show map & directions

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

Specialties & licences

Ph.D. Medical Genetics (primary) Taxonomy 170100000X · Licence A84987 (CA)

Record details

NPI number1639195654
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 14, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPAIN MANAGEMENT
Also practisesGENERAL PRACTICE, PHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount