Individual
DR. MICHELLE MANALI SHETH
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) 984-5900
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19746
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08234897
—
MS
05
—
1488003
—
LA
05
—
157280
—
AL
Enumeration date
06/14/2007
Last updated
04/01/2014
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