Individual
DR. PRADEEP BATHINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-2869
(601) 815-9356
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-2869
(601) 815-9356
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
25000
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07107519
—
MS
Enumeration date
07/09/2012
Last updated
07/21/2022
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