Healthcare Provider Details

I. General information

NPI: 1578147351
Provider Name (Legal Business Name): UZAIR HAMID
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2021
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4381 S EASON BLVD STE 301
TUPELO MS
38801-6584
US

IV. Provider business mailing address

530 NE GLEN OAK AVE
PEORIA IL
61637-0001
US

V. Phone/Fax

Practice location:
  • Phone: 662-377-3008
  • Fax: 662-377-3716
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number37646
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: