Upa Pllc Infectious Disease in Jackson - Pediatric Infectious Diseases

Upa Pllc Infectious Disease - NPI 1891848651

Upa Pllc Infectious Disease is a Pediatric Infectious Diseases in Jackson, Mississippi. Upa Pllc Infectious Disease practices all healthcare services and medical treatments related to Pediatric Infectious Diseases. The NPI Number for Upa Pllc Infectious Disease is 1891848651. The last update date is 2020-08-22.

Upa Pllc Infectious Disease's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019845206. The mailing address for Upa Pllc Infectious Disease is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Upa Pllc Infectious Disease
Address 2500 N State St, Jackson, Mississippi
Phone Number 6019845206
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGER
Authorized Official Name Evans B Owen
Credentials M.D.
Telephone Number 6019845214

NPI Number Detail

NPI Number 1891848651
Provider Enumeration Date 2007-01-18
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2500 N State St
City Jackson
State Mississippi (MS)
Post Code 392164500
Phone Number 6019845206
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Infectious Diseases
Taxonomy 2080P0208X
Definition:
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying disea

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9014115 MS --

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FAQs about Upa Pllc Infectious Disease

What is the unique 10-digit identification code issued to Upa Pllc Infectious Disease by the Centers for Medicare & Medicaid Services?

The Upa Pllc Infectious Disease has been assigned the NPI (National Provider Identifier) 1891848651 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 Upa Pllc Infectious Disease's facilities are situated?

The facilities of Upa Pllc Infectious Disease are physically located at the following address: 2500 N State St, Jackson, MS, 392164500.

What is Upa Pllc Infectious Disease's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Upa Pllc Infectious Disease is Pediatric Infectious Diseases, and the taxonomy code that categorizes this field of expertise is 2080P0208X.

On what date did the Upa Pllc Infectious Disease receive its 1891848651 assignment from the Centers for Medicare & Medicaid Services?

The Upa Pllc Infectious Disease was assigned its 1891848651 by the Centers for Medicare & Medicaid Services on 2007-01-18.

When was the information pertaining to Upa Pllc Infectious Disease most recently updated or revised?

The details related to Upa Pllc Infectious Disease, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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