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Individual

DR. SAJANI M TIPNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5214
(601) 984-2292
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5214
(601) 984-2292

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
22899
MS
2080N0001X
Neonatal-Perinatal Medicine Physician
A68772
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
029906261E
HUMANA
05
171730
AL
05
34580700
WI
Enumeration date
05/15/2006
Last updated
05/28/2015
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