Richard D Deshazo in Jackson - Allergy & Immunology
Richard D Deshazo - NPI 1225072838
Richard D Deshazo is a Allergy & Immunology in Jackson, Mississippi. Richard D Deshazo practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for Richard D Deshazo is 1225072838. The last update date is 2015-09-25.
Richard D Deshazo's current location address is 878 Lakeland Dr, Jackson, Mississippi. You can contact this provider via phone number 6018151078 and fax number 6019846439. The mailing address for Richard D Deshazo is 878 Lakeland Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard D Deshazo |
|---|---|
| Address | 878 Lakeland Dr, Jackson, Mississippi |
| Phone Number | 6018151078 |
| Fax Number | 6019846439 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1225072838 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2015-09-25 |
Provider Mailing Address Detail
| Address | 878 Lakeland Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6018151078 |
| Fax Number | 6019846439 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy & Immunology |
|---|---|
| Taxonomy | 207Ra0201X |
| Licence No | 15660 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Speci |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 19701 | MS | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Richard D Deshazo by the Centers for Medicare & Medicaid Services?
The Richard D Deshazo has been issued the NPI (National Provider Identifier) 1225072838. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Richard D Deshazo?
The Richard D Deshazo is situated at 878 Lakeland Dr, in the city of Jackson, state of MS, with the zip code 392164500.
What is Richard D Deshazo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Richard D Deshazo's specialized field of practice is Allergy & Immunology, and the corresponding taxonomy code that categorizes this area of specialization is 207Ra0201X.
On what date did Richard D Deshazo receive its 1225072838 assignment from the Centers for Medicare & Medicaid Services?
The Richard D Deshazo was assigned its 1225072838 on 2006-06-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Richard D Deshazo most recently updated?
The details pertaining to the Richard D Deshazo, including its address, specialty, and other relevant information, were last refreshed on 2015-09-25.
NPI Number: 1376546309
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