Individual
NOSRATOLLAH GHAEMMAGHAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
381 MEDICAL DRIVE, JACKSON, MS 39216
(601) 981-9652
(601) 981-3666
Mailing address
352 RED EAGLE CR, RIDGELAND, MS 39157
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
11488
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118385
—
MS
Enumeration date
07/16/2006
Last updated
05/22/2008
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