Organization
LANDMARK INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUKESH JAIN M.D. (PRESIDENT)
(662) 536-2500
Entity
Organization
Contact information
Practice address
7615 CLARINGTON CV, SOUTHAVEN, MS 38671-5647
(332) 536-2500
(662) 536-2505
Mailing address
7615 CLARINGTON CV, SOUTHAVEN, MS 38671-5647
(332) 536-2500
(662) 536-2505
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06326035
—
MS
05
—
3718595
—
TN
Enumeration date
04/02/2007
Last updated
08/22/2020
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