Individual
DR. NEELESH A TIPNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5232
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5232
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A71473
CA
2080P0206X
Pediatric Gastroenterology Physician
Primary
22991
MS
2080P0206X
Pediatric Gastroenterology Physician
A71473
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09826765
—
MS
Enumeration date
05/15/2006
Last updated
04/20/2017
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