FARUKH ALI MIRZA

SOUTHAVEN, MS
NPI1154060515
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-06-02
Last Update Date2022-06-02
Business Address
FARUKH ALI MIRZA MD
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671-4742
Phone number: 662-772-4696
Mailing Address
FARUKH ALI MIRZA MD
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671-4742
Phone number: 662-772-4696
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