Individual Healthcare Provider
Farukh Ali Mirza, MD
Provider's NPPES record last updated: August 7, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1154060515
- Primary Specialty
- Family Medicine
- Practice Location
- Bartlett, Tennessee
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 7:26 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Family Medicine
Allopathic & Osteopathic Physicians
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Taxonomy code 207Q00000X Student in an Organized Health Care Education/Training Program
Student, Health Care
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.
Taxonomy code 390200000X
Provider-Reported License Information
- Family Medicine (Tennessee)
- 73819
Practice Locations
Practice Location
3091 Kirby Whitten Rd
Bartlett, Tennessee 38134-2822
Phone: (901) 752-6963
Additional Practice Location
8110 Cordova Rd Ste 111
Cordova, Tennessee 38016-0522
Phone: (901) 752-6963
Fax: (901) 432-0070
Additional Practice Location
7685 Winchester Rd # 100
Memphis, Tennessee 38125-2202
Phone: (901) 752-6963
Fax: (901) 759-4746
Additional Practice Location
400 Market Blvd Ste 101
Collierville, Tennessee 38017-6516
Phone: (901) 752-6963
Fax: (901) 737-3640
Additional Practice Location
5150 Airline Rd Ste 300
Arlington, Tennessee 38002-8033
Phone: (901) 752-6963
Fax: (901) 260-9354
Additional Practice Location
2100 Exeter Rd
Germantown, Tennessee 38138-3966
Phone: (901) 757-1350
Fax: (901) 757-3496
Additional Practice Location
8138 Country Village Dr
Cordova, Tennessee 38016-2029
Phone: (901) 725-8606
Fax: (901) 759-9254
Additional Practice Location
4625 Poplar Ave
Memphis, Tennessee 38117-4419
Phone: (901) 752-6963
Fax: (901) 260-9309
Record Information
- Enumeration Date
- June 2, 2022
- Provider's NPPES Record Last Updated
- August 7, 2025
- Certification Date
- August 7, 2025
- NPISignal NPPES Dataset
- August 2026
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