Individual
SHIVUM KUMAR DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 620-7817
Mailing address
802 LAKELAND DR APT 260, JACKSON, MS 39216-4623
(601) 620-7817
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MS
Other
Enumeration date
05/24/2025
Last updated
05/24/2025
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