Individual
DR. SATYASEELAN PACKIANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-6886
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-6886
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
20845
MS
2085R0001X
Radiation Oncology Physician
ME93556
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2302388
—
LA
01
—
302I924707
MEDICARE PTAN
—
Enumeration date
12/02/2005
Last updated
09/04/2013
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