Individual
MOUNIR A SHAZLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1755 KIRBY PKWY, MEMPHIS, TN 38120-8300
(901) 725-5846
(901) 726-4827
Mailing address
PO BOX 171306, MEMPHIS, TN 38187-1306
(800) 809-2106
(334) 386-2037
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21093
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3057946
—
TN
Enumeration date
12/20/2005
Last updated
07/08/2007
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