Individual
RATHI V IYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-2716
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5220
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
06834
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00014337
—
MS
05
—
1318892
—
LA
Enumeration date
06/15/2006
Last updated
06/14/2012
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