Organization
ENNOBLE HC MS II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUSH DAS (OWNER)
(862) 812-9010
Entity
Organization
Contact information
Practice address
7048 OLD CANTON RD STE 2E, RIDGELAND, MS 39157-1021
(551) 295-8223
Mailing address
2 UNIVERSITY PLZ, HACKENSACK, NJ 07601-6202
(551) 295-8223
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
06/25/2026
Last updated
08/03/2026
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