Individual
DR. MUHAMMAD M MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7900 AIRWAYS BLVD STE 100, SOUTHAVEN, MS 38671-4113
(662) 349-2442
(662) 349-0356
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
(901) 227-7015
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
20724
MS
207RH0003X
Hematology & Oncology Physician
44987
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08977863
—
MS
05
—
1532964
—
TN
05
—
215285001
—
AR
Enumeration date
04/22/2007
Last updated
03/28/2024
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