Farukh Ali Mirza, MD is a student in an organized health care education training program in Southaven, MS. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Farukh Ali Mirza, MD NPI is 1154060515. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
7601 SOUTHCREST PKWY
SOUTHAVEN, MS
ZIP 38671-742
Phone: (662) 772-4696
The enumeration date for this NPI number is 6/2/2022 and was last updated on 6/2/2022.