Individual
FNU SAMRA MARIYAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 NORTH STATE STREET, DEPARTMENT OF PATHOLOGY, JACKSON, MS 39216
(601) 984-1879
Mailing address
2500 NORTH STATE STREET, DEPARTMENT OF PATHOLOGY, JACKSON, MS 39216
(601) 984-1879
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
T-5961
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2025
Last updated
12/04/2025
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