Tariq Shafi
STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER


Address: 1225 N State St, Jackson, MS 39202-2064
Phone: 6018156381

Tariq Shafi (NPI# 1376693986, PAC ID# 4486628567) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.

Physician Overview

Nation Provider ID (NPI) 1376693986
PAC ID by PECOS 4486628567
Professional Enrollment ID I20190517001487
Full Name Tariq Shafi
Organization Legal Name STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Address 1225 N State St
Jackson
MS 39202-2064
Phone Number 6018156381
Gender M
Credential MD
Graduation Year 1990
Primary Specialty NEPHROLOGY
Group Practice PAC ID 1850293036
Number of Group Practice Members 811
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
250001 UNIVERSITY OF MISSISSIPPI MED CENTER

Other Locations

Address Phone Organization
1225 N State St, Jackson, MS 39202-2064 6018156381 STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

Organization Information

Organization Legal Name STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Physicians 939

Physicians with the same organization

Name Specialty Organization Address
Nicholas A Turner Diagnostic Radiology State of Mississippi-university of Mississippi Medical Center 239 Bowling Green Rd, Lexington, MS 39095-5167
Nawal Shaikh Neurology State of Mississippi-university of Mississippi Medical Center 2500 N State St, Jackson, MS 39216-4500
Stacey Kitchens Nurse Practitioner State of Mississippi-university of Mississippi Medical Center 331 Sunnybrook Rd, Ridgeland, MS 39157-1802
Michal Senitko Pulmonary Disease State of Mississippi-university of Mississippi Medical Center 1900 Grandview Dr, Grenada, MS 38901-5066
Amanda B. Greene Nurse Practitioner State of Mississippi-university of Mississippi Medical Center 350 W Woodrow Wilson Dr, Cancer Institute, Jackson, MS 39213
Wayne S Orr General Surgery State of Mississippi-university of Mississippi Medical Center 161 River Oaks Dr, Canton, MS 39046-5375
John C Simmons Certified Registered Nurse Anesthetist (crna) State of Mississippi-university of Mississippi Medical Center 5 Medical Blvd C, Hattiesburg, MS 39401-7231
Christophor Reed Diagnostic Radiology State of Mississippi-university of Mississippi Medical Center 965 Avent Dr, 100a, Grenada, MS 38901-5045
Antonio A Gamble Certified Registered Nurse Anesthetist (crna) State of Mississippi-university of Mississippi Medical Center 960 Avent Dr, Grenada, MS 38901-5230
Cynthia O Field Pediatric Medicine State of Mississippi-university of Mississippi Medical Center 4400 Old Canton Rd, Suite 3, Jackson, MS 39211-5982

Office Location

Street Address 1225 N STATE ST
City JACKSON
State MS
Zip 39202-2064

Physicians in the same location

Name Specialty Organization Address
Richard B Friedman Radiation Oncology Radiation Oncology of Mississippi Pa 1225 N State St, Mississippi Baptist Med Ctr, Jackson, MS 39202-2064
Laird B Miller Certified Registered Nurse Anesthetist (crna) Jackson Anesthesia Associates Pa 1225 N State St, Mississippi Baptist Medical Center, Jackson, MS 39202-2064
Kimberly D Booth Nurse Practitioner Medical Foundation of Central Mississippi Inc 1225 N State St, Jackson, MS 39202-2064
James W Ishee Certified Registered Nurse Anesthetist (crna) Jackson Anesthesia Associates Pa 1225 N State St, Mississippi Baptist Medical Center, Jackson, MS 39202-2064
Kenneth L Boswell Certified Registered Nurse Anesthetist (crna) Jackson Anesthesia Associates Pa 1225 N State St, Mississippi Baptist Medical Center, Jackson, MS 39202-2064
Ance Hawkins Ii Certified Registered Nurse Anesthetist (crna) Jackson Anesthesia Associates Pa 1225 N State St, Mississippi Baptist Medical Center, Jackson, MS 39202-2064
Paul F Dare Anesthesiology Jackson Anesthesia Associates Pa 1225 N State St, Mississippi Baptist Medical Center, Jackson, MS 39202-2064
Kimberly B Fuller Nurse Practitioner Mississippi Physicians LLP 1225 N State St, Mississippi Baptist Medical Center, Jackson, MS 39202-2064
Karen Lynne Whitwer Certified Registered Nurse Anesthetist (crna) Jackson Anesthesia Associates Pa 1225 N State St, Mississippi Baptist Medical Center, Jackson, MS 39202-2064
Ashley P Beam Certified Registered Nurse Anesthetist (crna) Jackson Anesthesia Associates Pa 1225 N State St, Mississippi Baptist Medical Center, Jackson, MS 39202-2064
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Physicians in the same zip code

Name Specialty Organization Address
Michael C Livingston Obstetrics/gynecology 501 Marshall St, Suite 501, Jackson, MS 39202-1615
Gina E Heath General Surgery The Surgical Clinic Associates, P.a. 501 Marshall St, Suite 500, Jackson, MS 39202-1615
George Edward Copeland Iii General Surgery The Surgical Clinic Associates, P.a. 501 Marshall St, Suite 500, Jackson, MS 39202-1615
Erin R Cummins General Surgery The Surgical Clinic Associates, P.a. 501 Marshall St, Suite 500, Jackson, MS 39202-1615
Anthony Bedear Petro General Surgery The Surgical Clinic Associates, P.a. 501 Marshall St, Suite 500, Jackson, MS 39202-1615
Jason G Murphy General Surgery The Surgical Clinic Associates, P.a. 501 Marshall St, Suite 500, Jackson, MS 39202-1615
Nathan Dudley Maples General Surgery The Surgical Clinic Associates, P.a. 501 Marshall St, Suite 500, Jackson, MS 39202-1615
Andrew Currier Mallette General Surgery The Surgical Clinic Associates, P.a. 501 Marshall St, Suite 500, Jackson, MS 39202-1615
Alexander John Haick General Surgery The Surgical Clinic Associates, P.a. 501 Marshall St, Suite 500, Jackson, MS 39202-1615
Martha D Dickens Family Practice Medical Foundation of Central Mississippi Inc 501 Marshall St, Suite 500, Jackson, MS 39202-1615
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Competitor

Search similar physicians

City JACKSON
Zip Code 39202
Specialty NEPHROLOGY
City + Specialty JACKSON + NEPHROLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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