# INDIRA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MADISON RIDGELAND MEDICAL CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316128762
- **Authorized official:** INDIRA K VEERISETTY MD (OWNER)
- **Authorized official phone:** (601) 856-2460

## Contact information

- **Practice address:** 12 PROFESSIONAL PKWY, RIDGELAND, MS 39157-4113
- **Practice address phone:** (601) 856-2460
- **Practice address fax:** (601) 856-4687
- **Mailing address:** 12 PROFESSIONAL PKWY, RIDGELAND, MS 39157-4113
- **Mailing address phone:** (601) 856-2460
- **Mailing address fax:** (601) 856-4687

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 10202 | MS | Yes |

## Other

- **Enumeration date:** 11/14/2007
- **Last updated:** 06/11/2008