Individual
DR. EJAZ VIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3173 KIRBY WHITTEN RD, STE 104, MEMPHIS, TN 38134
(901) 524-1200
Mailing address
PO BOX 381554, GERMANTOWN, TN 38183-1554
(901) 524-1200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
27846
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123049
—
MS
01
—
103I265082
TN MEDICARE
TN
05
—
135344001
—
AR
05
—
1508445
—
TN
Enumeration date
04/23/2007
Last updated
10/29/2024
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