Individual
NANNI PIDIKITI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
703 ALCORN DR, SUITE 104, CORINTH, MS 38834-9302
(662) 286-9393
(662) 286-9533
Mailing address
703 ALCORN DR, SUITE 104, CORINTH, MS 38834-9302
(662) 286-9393
(662) 286-9533
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
13497
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00113432
—
MS
Enumeration date
07/26/2006
Last updated
07/08/2007
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