Individual
ALBERT F CHIEMPRABHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1815 MISSION 66, VICKSBURG, MS 39180
(601) 355-1234
(601) 326-3559
Mailing address
2510 LAKELAND DR, FLOWOOD, MS 39232-9513
(601) 355-1234
(601) 326-3559
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
14960
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0124422
—
MS
05
—
1100447
—
LA
Enumeration date
04/18/2006
Last updated
07/21/2022
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