Individual
DR. RAMBOD ROUHBAKHSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-3300
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-3300
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18638
MS
207Q00000X
Family Medicine Physician
MD28720
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026076
—
OR
05
—
02801001
—
MS
Enumeration date
05/25/2006
Last updated
08/11/2020
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