Individual
DR. RAHAT NOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216-4500
(601) 815-2869
(601) 815-9356
Mailing address
2500 NORTH STATE STREET, JMM ROOM 2525, JACKSON, MS 39216-4500
(601) 984-6426
(601) 984-6439
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22070
MS
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
22070
MS
208M00000X
Hospitalist Physician
Primary
22070
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02771215
—
MS
05
—
193150
—
AL
01
—
P01713178
RAILROAD MEDICARE PTAN
MS
Enumeration date
05/14/2007
Last updated
10/16/2017
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