Provider Demographics
NPI:1922019702
Name:SHIRAZEE, SYED HASSAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:HASSAN
Last Name:SHIRAZEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 CAPITAL WAY
Mailing Address - Street 2:STE B
Mailing Address - City:ATOKA
Mailing Address - State:TN
Mailing Address - Zip Code:38004-6866
Mailing Address - Country:US
Mailing Address - Phone:901-791-0244
Mailing Address - Fax:901-791-0305
Practice Address - Street 1:6644 SUMMER KNOLL CIR
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-2875
Practice Address - Country:US
Practice Address - Phone:901-791-0244
Practice Address - Fax:901-791-0305
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN38214174400000X
TN28214207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4058777OtherBLUE CROSS
TN4051060OtherCIGNA
TN3714645Medicaid
TNF62623Medicare UPIN
TN3714645Medicaid
TN3714645Medicare PIN