# GERMANTOWN PRIVATE PSYCHIATRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467799767
- **Authorized official:** ARIF MIRZA MD (OWNER)
- **Authorized official phone:** (901) 730-0575

## Contact information

- **Practice address:** 7505 CAPITAL DR, THE CORPORATE CENTER, GERMANTOWN, TN 38138-3848
- **Practice address phone:** (901) 730-0575
- **Practice address fax:** (901) 730-0389
- **Mailing address:** 7505 CAPITAL DR, THE CORPORATE CENTER, GERMANTOWN, TN 38138-3848
- **Mailing address phone:** (901) 730-0575
- **Mailing address fax:** (901) 730-0389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | MD0000045393 | TN | Yes |

## Other

- **Enumeration date:** 01/08/2013
- **Last updated:** 01/08/2013