| NPI | 1154060515 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2022-06-02 |
| Last Updated | 2025-08-07 |
| Mailing Address | 350 N Humphreys Blvd Memphis, TN 38120-2177 United States Phone: (901) 226-4003 | Fax: (901) 227-8591 📍 View Map |
| Primary Practice Address | 3091 Kirby Whitten Rd Bartlett, TN 38134-2822 United States Phone: (901) 752-6963 | Fax: (901) 759-4704 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 390200000X – Student in an Organized Health Care Education/Training Program | — | — |
| Yes | 207Q00000X – Family Medicine | TN | 73819 |
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About NPI 1154060515
Farukh Ali Mirza MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1154060515. The primary specialty listed is Family Medicine. The provider is located in Bartlett, TN. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2022-06-02. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1154060515?
NPI 1154060515 belongs to Farukh Ali Mirza MD, a Family Medicine in Bartlett, TN. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1154060515 active?
The current status of NPI 1154060515 in the NPPES registry is Active. The record was last updated on 2025-08-07.
What specialty is NPI 1154060515?
NPI 1154060515 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1154060515?
You can verify NPI 1154060515 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1154060515?
The primary practice address on file for NPI 1154060515 is 3091 Kirby Whitten Rd, Bartlett, TN 38134-2822. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1154060515 issued?
NPI 1154060515 was first issued (enumerated) on 2022-06-02. The NPPES record was last updated on 2025-08-07.
Practice Location Map
Farukh Ali Mirza is located at 3091 Kirby Whitten Rd, Bartlett, TN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Farukh Ali Mirza. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1154060515. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 73819 | TN |