Individual provider Active NPI

Uzma Khanum Shirwany

  • Internal Medicine Physician
  • Germantown, TN
National Provider Identifier
1730234691
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36935 Issued in TN
Practice address
1771 Dickens CV
Germantown, TN 38139-3600
Phone
(901) 759-9176
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36935 TN Primary

Addresses

Primary practice location

1771 Dickens CV
Germantown, TN 38139-3600

Mailing address

1771 Dickens CV
Germantown, TN 38139-3600
Phone (901) 759-9176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130416000059 TN Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3375789456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36935TNMDGerontology Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730234691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 DICKENS CV",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381393600",
            "telephone_number": "901-759-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 DICKENS CV",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381393600",
            "telephone_number": "901-759-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRWANY",
        "first_name": "UZMA",
        "middle_name": "KHANUM",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "36935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.