Individual
MANJOT KAUR MASHIANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1665 S GREEN ST, TUPELO, MS 38804-6556
(662) 377-2189
Mailing address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(601) 296-3963
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
32338
MS
207Q00000X
Family Medicine Physician
32338
MS
207R00000X
Internal Medicine Physician
T-4403
MS
Other
Enumeration date
07/07/2020
Last updated
11/07/2025
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