Individual
VARSHA MANUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1530
(601) 984-1531
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1530
(601) 984-1531
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
MD441023
PA
207ZP0101X
Anatomic Pathology Physician
Primary
23516
MS
207ZP0101X
Anatomic Pathology Physician
MD441023
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00327558
—
MS
05
—
189085
—
AL
Enumeration date
02/17/2007
Last updated
08/18/2016
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