# DR KIANDOKHT PARTOVI PC INC

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

## Provider details

- **NPI number:** 1134367311
- **Authorized official:** DR. KIANDOKHT PARTOVI MD (OWNER/PRESIDENT)
- **Authorized official phone:** (662) 449-4308

## Contact information

- **Practice address:** 5410 WINDY RIDGE DR, SOUTHAVEN, MS 38671-6450
- **Practice address phone:** (662) 449-4308
- **Mailing address:** 5410 WINDY RIDGE DR, SOUTHAVEN, MS 38671-6450
- **Mailing address phone:** (662) 449-4308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 18836 | MS | Yes |

## Other

- **Enumeration date:** 01/27/2009
- **Last updated:** 07/08/2009