Provider Demographics
NPI:1932303856
Name:KHURSHID, MUHAMMAD AIJAZ (MD)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:AIJAZ
Last Name:KHURSHID
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:PO BOX 38449
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38183-0449
Mailing Address - Country:US
Mailing Address - Phone:901-362-1411
Mailing Address - Fax:901-365-1916
Practice Address - Street 1:8988 FOREST HILL IRENE CV
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38139-6619
Practice Address - Country:US
Practice Address - Phone:901-362-1411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD43836207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3002324OtherMEDICARE
TN01903448OtherAMERIGROUP
TN4208554OtherBCBS
TN1512192Medicaid
TN8238477OtherCIGNA