Individual
KAVIPRIYA KOMESWARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-2005
(601) 815-0434
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-2005
(601) 815-0434
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125.069376
IL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
30089
MS
Other
Enumeration date
06/24/2016
Last updated
08/26/2022
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