Individual
MALIK MURTAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
587 SKYLINE DR, JACKSON, TN 38301-3938
(731) 421-6510
(731) 421-6515
Mailing address
257 BANCORP SOUTH PKWY, JACKSON, TN 38305-7582
(731) 512-1283
(731) 660-8739
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
67069
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
09/01/2016
Last updated
07/05/2023
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