Individual
SHANTI PARKASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(347) 705-0178
Mailing address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(347) 705-0178
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
BP10080268
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/17/2022
Last updated
07/17/2024
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