Organization
DR KIANDOKHT PARTOVI PC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIANDOKHT PARTOVI MD (OWNER/PRESIDENT)
(662) 449-4308
Entity
Organization
Contact information
Practice address
5410 WINDY RIDGE DR, SOUTHAVEN, MS 38671-6450
(662) 449-4308
Mailing address
5410 WINDY RIDGE DR, SOUTHAVEN, MS 38671-6450
(662) 449-4308
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18836
MS
Other
Enumeration date
01/27/2009
Last updated
07/08/2009
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