Individual
MR. MEHUL P DIXIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD DM
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5970
(601) 815-5902
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5970
(601) 815-5902
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
ME91725
FL
2080P0210X
Pediatric Nephrology Physician
Primary
21228
MS
2080P0210X
Pediatric Nephrology Physician
ME91725
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07933347
—
MS
05
—
271724700
—
FL
01
—
52242
BCBS
FL
Enumeration date
06/24/2006
Last updated
05/20/2016
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