Individual
MOEEN K PANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N. STATE ST, UMMC, DEPARTMENT OF ANESTHESIOLOGY, JACKSON, MS 39216
(601) 984-5931
(601) 984-5939
Mailing address
2500 N. STATE ST, DEPARTMENT OF ANESTHESIOLOGY, JACKSON, MS 39216
(601) 984-5931
(601) 984-5939
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
22077
MS
207L00000X
Anesthesiology Physician
M2438
TX
207L00000X
Anesthesiology Physician
Primary
ME94159
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04607335
—
MS
05
—
176445801
—
TX
01
—
8S3255
BCBS
TX
Enumeration date
06/02/2006
Last updated
10/09/2012
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