Individual
VISTASP DARUWALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1220 JEFFERSON ST, LAUREL, MS 39440-4355
(814) 534-9104
(814) 534-3290
Mailing address
PO BOX 247, LAUREL, MS 39441-0247
(601) 428-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT206379
PA
2085R0202X
Diagnostic Radiology Physician
Primary
27689
MS
Other
Enumeration date
05/14/2014
Last updated
04/23/2026
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