Organization
YOSHINOBU NAMIHIRA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOSHINOBU NAMIHIRA M.D. (PRESIDENT)
(601) 638-9800
Entity
Organization
Contact information
Practice address
3000 HALLS FERRY RD, VICKSBURG, MS 39180-4802
(601) 638-9800
(601) 638-9808
Mailing address
3000 HALLS FERRY RD, VICKSBURG, MS 39180-4802
(601) 638-9800
(601) 638-9808
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00017743
—
MS
01
—
110030246
RAIL ROAD MEDICARE
MS
05
—
1366501
—
LA
Enumeration date
10/11/2006
Last updated
04/22/2008
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