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Individual

DR. INDIRA K VEERISETTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
11 PROFESSIONAL PARKWAY, RIDGELAND, MS 39157-4113
(601) 856-2460
(601) 856-4687
Mailing address
11 PROFESSIONAL PARKWAY, RIDGELAND, MS 39157-4113
(601) 856-2460

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10202
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00014170
MS
01
1316128762
NPI
MS
01
640881814
TAX IDENTIFICATION
MS
01
DFEC CENTRAL
GOVERNMENT W/C
MS
Enumeration date
07/09/2006
Last updated
03/21/2024
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