Ammar Baig Mirza, is a
Student In An Organized Health Care Education/training Program based in Memphis, Tennessee. Ammar Baig Mirza is licensed to practice in * (Not Available) (license number ) and his current practice location is
6019 Walnut Grove Rd, Memphis, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(901) 226-5000.
NPI number for Ammar Baig Mirza is 1114818382 and his current mailing address is 4014 Fallen Leaf Ct, Kennesaw, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114818382.
Provider's Profile
Full Name | Ammar Baig Mirza |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 6019 Walnut Grove Rd, Memphis, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114818382
- Provider Enumeration Date: 07/14/2025
- Last Update Date: 07/14/2025
Medical Identifiers
Medical identifiers for Ammar Baig Mirza such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114818382 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN262220 (Georgia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ammar Baig Mirza is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ammar Baig Mirza, 4014 Fallen Leaf Ct, Kennesaw, GA 30152-7500 Ph: (404) 754-8695 | Ammar Baig Mirza, 6019 Walnut Grove Rd, Memphis, TN 38120-2113 Ph: (901) 226-5000 |
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