Jaisiri Jaiwatana is a Specialist in Jackson, Mississippi. Jaisiri Jaiwatana practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jaisiri Jaiwatana is 1295760049. The last update date is 2007-07-08.
Jaisiri Jaiwatana's current location address is 1500 E. Woodrow Wilson Drive, Jackson, Mississippi. You can contact this provider via phone number 6013624471 and fax number 6013641588. The mailing address for Jaisiri Jaiwatana is 1500 E. Woodrow Wilson Drive, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jaisiri Jaiwatana |
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Address | 1500 E. Woodrow Wilson Drive, Jackson, Mississippi |
Phone Number | 6013624471 |
Fax Number | 6013641588 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1295760049 |
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Provider Enumeration Date | 2006-07-11 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1500 E. Woodrow Wilson Drive |
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City | Jackson |
State | Mississippi (MS) |
Post Code | 392165199 |
Phone Number | 6013624471 |
Fax Number | 6013641588 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | MD9250 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identification code issued to Jaisiri Jaiwatana by the Centers for Medicare & Medicaid Services?
The Jaisiri Jaiwatana has been assigned the NPI (National Provider Identifier) 1295760049 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Jaisiri Jaiwatana's facilities are situated?
The facilities of Jaisiri Jaiwatana are physically located at the following address: 1500 E. Woodrow Wilson Drive, Jackson, MS, 392165199.
What is the area of specialization for Jaisiri Jaiwatana, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jaisiri Jaiwatana is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date was the 1295760049 assigned to Jaisiri Jaiwatana?
The Jaisiri Jaiwatana was issued its 1295760049 on 2006-07-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jaisiri Jaiwatana's details last updated?
The information pertaining to the Jaisiri Jaiwatana, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY