Individual
FARUKH ALI MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3091 KIRBY WHITTEN RD, BARTLETT, TN 38134-2822
(901) 752-6963
(901) 759-4704
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(901) 226-4003
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
73819
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2022
Last updated
08/07/2025
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