Individual
MARIAM RIAD
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) 815-5235
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-5235
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD.44653
AL
207RI0011X
Interventional Cardiology Physician
349178
LA
207RI0011X
Interventional Cardiology Physician
Primary
MD.35251
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2019
Last updated
03/26/2026
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