DR. MUHAMMAD M MIRZA (NPI# 1467670984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467670984 |
| Entity Type | Individual |
| Full Name | DR. MUHAMMAD M MIRZA |
| Credential | MD |
| Practice Address |
7900 Airways Blvd Ste 100 Southaven MS 38671-4113 |
| Mailing Address |
965 Ridge Lake Blvd., Suite 103 Memphis TN 38120-9401 |
| Practice Telephone | 6623492442 |
| Practice Fax Number | 6623490356 |
| Mailing Telephone | (901) 227-3255 |
| Mailing Fax Number | 9012278591 |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 44987 | TN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 20724 | MS | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
44987 | TN | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
20724 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 08977863 | 05 | |
| TN | 1532964 | 05 | |
| AR | 215285001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 391 Southcrest Cir Ste 101, Southaven, MS 386714848 | 6623490755 | 6623490356 |
| 6215 Humphreys Blvd Ste 208, Memphis, TN 381202382 | 9012278950 | |
| 6692 Vinings Creek Cv W, Memphis, TN 381196651 | 9015960689 | |
| 6029 Walnut Grove Rd Ste 301, Memphis, TN 381202112 | 9017479081 | 9017479087 |
| 80 Humphreys Center Dr Ste 330, Memphis, TN 381202363 | 9017526131 | 9017526170 |
| 440 Wilkinson Dr, Dyersburg, TN 380242085 | 7312878395 | 7312879493 |
| 2996 Kate Bond Rd Ste 207, Bartlett, TN 381334062 | 9013790703 | |
| 6029 Walnut Grove Rd Ste 305, Memphis, TN 381202155 | 9012260533 | 9012260581 |
| 2996 Kate Bond Rd Ste 100, Bartlett, TN 381334062 | 9013835570 | 9013835571 |
| 1500 W Poplar Ave Ste 206, Collierville, TN 380170601 | 9018618550 | 9018618555 |
| 1500 W Poplar Ave Ste 308, Collierville, TN 380170601 | 9018618550 | 9018618555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881677409 | Muhammad A Mirza | Internal Medicine | 290 Madison Ave Fl 7, New York, NY 10017-6308 | 2005-11-29 |
| 1548269822 | Muhammad A Mirza | Pediatrics | 4300 N.josey Ln., Suite 110, Carrollton, TX 75010-5338 | 2005-07-19 |
| 1366965378 | Muhammad Bilal Mirza | Internal Medicine | 100 15th St Nw, Norton, VA 24273-1616 | 2017-07-21 |
| 1588197917 | Muhammad Usman Mirza | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave Dept Of, Miami, FL 33136-1005 | 2017-04-04 |
| 1962744391 | Muhammad Zain Mirza | Orthopaedic Surgery | 1100 Virginia Ave, Columbia, MO 65212-0001 | 2013-03-24 |
| 1316126998 | Muhammad Farrukh Mirza | Internal Medicine | 185 Queen City Ave, Manchester, NH 03101-7121 | 2007-10-30 |
| 1255541918 | Muhammad Mirza | Family Medicine | 150 E Swan St, Centerville, TN 37033-1446 | 2007-05-23 |
| 1568561678 | Muhammad Azim Mirza | Internal Medicine | 851 E 5th St, Suite 108, Washington, MO 63090-3135 | 2006-09-22 |
| Street Address |
7900 AIRWAYS BLVD STE 100 |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38671-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053303750 | Sohail A Minhas | Internal Medicine | 7900 Airways Blvd Ste 100, Southaven, MS 38671-4113 | 2005-08-18 |
| 1407138936 | April Nunnally | Pharmacist | 7900 Airways Blvd Ste 100, Southaven, MS 38671-4113 | 2011-09-11 |
| 1922203082 | Syed S Azmi | Internal Medicine | 7900 Airways Blvd Ste 100, Southaven, MS 38671-4113 | 2007-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
| 1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
| 1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
| 1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
| 1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
| 1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
| 1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
| 1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
| 1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
| 1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
| Find all providers in zip 38671 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801825781 | Sonia M Benn | Internal Medicine | 7668 Airways Blvd, Southaven, MS 38671-5304 | 2006-07-02 |
| 1053303750 | Sohail A Minhas | Internal Medicine | 7900 Airways Blvd Ste 100, Southaven, MS 38671-4113 | 2005-08-18 |
| 1922203082 | Syed S Azmi | Internal Medicine | 7900 Airways Blvd Ste 100, Southaven, MS 38671-4113 | 2007-06-19 |
| 1407862899 | Family Cancer Center, Pllc | Internal Medicine | 391 Southcrest Cir, Suite 101, Southaven, MS 38671-4848 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710365630 | Grenada Hematology Oncology LLC | Internal Medicine | 1300 Sunset Dr Ste F, Grenada, MS 38901-4083 | 2015-05-12 |
| 1720241201 | Jennifer T Eubanks | Internal Medicine | 1704 23rd Ave Fl 2, Meridian, MS 39301-3103 | 2008-07-06 |
| 1780713966 | Jackson Oncology Associates, Pllc | Internal Medicine | 1860 Chadwick Dr Ste 301, Jackson, MS 39204-3467 | 2007-03-05 |
| 1346379500 | Jackson Oncology Associates,pllc | Internal Medicine | 2969 Curran Dr N Ste 200, Jackson, MS 39216-4121 | 2007-03-05 |
| 1023147204 | Jackson Oncology Associates, Pllc | Internal Medicine | 2200 Highway 61 N Ste 3300, Vicksburg, MS 39183-8246 | 2007-03-05 |
| 1760585178 | Rose Cancer Center PC | Internal Medicine | 807 Robb Street, Summit, MS 39666 | 2006-09-07 |
| 1215960786 | Wail Alnas | Internal Medicine | 345 Baptist Blvd, Columbus, MS 39705 | 2006-07-08 |
| 1760415608 | Benton M Wheeler | Internal Medicine | 504 Azalea Dr Ste A, Oxford, MS 38655-5397 | 2006-07-07 |
| 1639119589 | Justin T Baker | Internal Medicine | 1227 N State St Ste 101, Jackson, MS 39202-2002 | 2006-06-08 |
| 1528023900 | Agustin J Suarez | Internal Medicine | 1513 Mcneill Steephollow Rd, Carriere, MS 39426-9168 | 2006-04-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.