Individual
NATESAN MANIMEKALAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, DEPT OF ANESTHESIOLOGY, JACKSON, MS 39216-4500
(601) 984-5900
(601) 984-6439
Mailing address
2500 N STATE ST, DEPT OF ANESTHESIOLOGY, JACKSON, MS 39216-4500
(601) 984-5900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
22847
MS
207L00000X
Anesthesiology Physician
ME97927
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03950227
—
MS
05
—
2797470-00
—
FL
05
—
785534386A
—
GA
01
—
P010508103
RAILROAD MEDICARE PTAN
MS
Enumeration date
10/02/2007
Last updated
10/15/2015
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