Miss Lou Health Llc in Natchez - Specialist

Miss Lou Health Llc - NPI 1598707150

Miss Lou Health Llc is a Specialist in Natchez, Mississippi. Miss Lou Health Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Miss Lou Health Llc is 1598707150. The last update date is 2020-12-21.

Miss Lou Health Llc's current location address is 140 Jefferson Davis Blvd, Natchez, Mississippi. You can contact this provider via phone number 6013049718 and fax number 6013049637. The mailing address for Miss Lou Health Llc is 140 Jefferson Davis Blvd, Natchez, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Miss Lou Health Llc
Address 140 Jefferson Davis Blvd, Natchez, Mississippi
Phone Number 6013049718
Fax Number 6013049637
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DOCTOR
Authorized Official Name Dulam Vikramaditya
Credentials M.D.
Telephone Number 6013049718

NPI Number Detail

NPI Number 1598707150
Provider Enumeration Date 2006-06-11
Last Updated Date 2020-12-21

Provider Mailing Address Detail

Address 140 Jefferson Davis Blvd
City Natchez
State Mississippi (MS)
Post Code 391205104
Phone Number 6013049718
Fax Number 6013049637

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 18344
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2602371 MS --
1197785 LOUSISIANA MEDICAID
595597482 MS BLUE CROSS BLUE SHIELD

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FAQs about Miss Lou Health Llc

What is the unique provider identifier assigned to Miss Lou Health Llc?

The Miss Lou Health Llc has been issued the NPI (National Provider Identifier) 1598707150 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Miss Lou Health Llc's physical address?

The Miss Lou Health Llc is physically located at 140 Jefferson Davis Blvd, in the city of Natchez, MS, with the postal code 391205104.

What is Miss Lou Health Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Miss Lou Health Llc is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1598707150 to Miss Lou Health Llc?

The Centers for Medicare & Medicaid Services assigned the 1598707150 to Miss Lou Health Llc on 2006-06-11.

As of what date was the information pertaining to Miss Lou Health Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Miss Lou Health Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-12-21.

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