# UNIVERSITY INTERNAL MEDICINE ASSOC LLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083656870
- **Authorized official:** DR. RICHARD DESHAZO MD (MANAGING PARTNER)
- **Authorized official phone:** (601) 987-3988

## Contact information

- **Practice address:** 2500 N STATE ST, DEPARTMENT OF MEDICINE, JACKSON, MS 39216-4500
- **Practice address phone:** (601) 984-5600
- **Mailing address:** 1867 CRANE RIDGE DR, STE 150-A UNIVERSITY INTERNAL MEDICINE ASSOCIATES, LLP, JACKSON, MS 39216-4982
- **Mailing address phone:** (601) 987-3988
- **Mailing address fax:** (601) 987-4165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | MS | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 07/21/2022