Individual
SEAN SHAHZAD DAILAMI-POUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
116 HAYDEN STREET, BELZONI, MS 39038
(662) 247-1252
(662) 247-3865
Mailing address
116 HAYDEN ST, BELZONI, MS 39038
(601) 859-5213
(601) 859-8771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17099
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124063
—
MS
05
—
0124063
—
MS
Enumeration date
01/02/2007
Last updated
07/18/2013
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