Individual
MS. SHAMINA KHANUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTIST
Contact information
Practice address
3502 WEST NORTHSIDE DRIVE, JACKSON, MS 39213
(601) 362-5321
(601) 364-2600
Mailing address
3502 WEST NORTHSIDE DRIVE, JACKSON HINDS COMPREHENSIVE, TUPELO, MS 38801
(601) 362-5321
(601) 364-2600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4090-19
MS
Other
Enumeration date
06/06/2014
Last updated
01/15/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us