Individual
SADHANA KALPANA DHARMAPURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-6960
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-6960
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036 119556
IL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
036-119556
IL
2080A0000X
Pediatric Adolescent Medicine Physician
23828
MS
2080A0000X
Pediatric Adolescent Medicine Physician
56375
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07179335
—
MS
05
—
1487836060
—
WI
Enumeration date
12/05/2007
Last updated
04/22/2021
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