Individual
DR. DEEPINDER S. BURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
975 HALL ST, WIGGINS, MS 39577-2107
(601) 528-9119
(601) 528-9193
Mailing address
PO BOX 1007, LUCEDALE, MS 39452-1007
(601) 528-9119
(601) 528-9193
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16102
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121088
—
MS
01
—
C03308
MEDICARE CAHABA
MS
01
—
P00447532
MEDICARE RAILROAD
MS
Enumeration date
08/14/2006
Last updated
07/28/2011
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