Individual
DR. SANJIB SHRESTHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
827 ANNANDALE RD, MADISON, MS 39110-7824
(601) 420-0141
Mailing address
827 ANNANDALE RD, MADISON, MS 39110-7824
(601) 420-0141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16694
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00012153
—
MS
Enumeration date
10/18/2006
Last updated
07/31/2008
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