Divya Shakti MD

NPI 1659559300 - Pediatrics - 208000000X

NPI Details
NPI 1659559300
Gender Female
Enumeration Date 02/05/2008
Last Updated 11/12/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
2500 NORTH STATE STREET
JACKSON MS, 39216, US
Phone (601) 984-1000
Fax (601) 984-2292
Business Location
2500 NORTH STATE STREET
JACKSON MS, 39216, US
Phone (601) 984-1000
Fax (601) 984-2292
Toxanomy
Taxonomy Code 208000000X
License State Michigan
License Number 4301090267
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According to our database, Dr. Divya Shakti MD NPI is 1659559300, taxonomy code is 208000000X and license number is 4301090267, license state is located at Michigan. Divya Shakti MD physically located at 2500 North State Street, Jackson MS, 39216. NPI Number Divya Shakti MD has the Individual type.

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1659559300 NPI number is provided on an as is basis without warranty of any kind. 1659559300 is maintained by the National Plan & Provider Enumeration System. The contents of Divya Shakti MD are for informational purposes only.