Organization
HARISH M. MADNANI M.D.P.C
Active
Other names
HARISH M. MADNANI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARISH M MADNANI M.D. (PRESIDENT)
(601) 876-6006
Entity
Organization
Contact information
Practice address
251 HOSPITAL DR, B, TYLERTOWN, MS 39667-2025
(601) 876-6006
(601) 876-3603
Mailing address
251 HOSPITAL DR, B, TYLERTOWN, MS 39667-2025
(601) 876-6006
(601) 876-3603
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015697
—
MS
Enumeration date
06/11/2008
Last updated
08/18/2008
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