Provider Demographics
NPI:1598988073
Name:AFZAL, MUHAMMAD OMER (MD,MBBS)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:OMER
Last Name:AFZAL
Suffix:
Gender:M
Credentials:MD,MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1246 ISLE BAY DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38103-8955
Mailing Address - Country:US
Mailing Address - Phone:901-288-9532
Mailing Address - Fax:
Practice Address - Street 1:877 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103-2807
Practice Address - Country:US
Practice Address - Phone:901-448-4445
Practice Address - Fax:901-448-1248
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TN473862085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program