Individual
MICHELLE N. TAHERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1020 RIVER OAKS DR., SUITE 320, FLOWOOD, MS 39232
(601) 936-1400
(601) 936-0671
Mailing address
1020 RIVER OAKS DR., SUITE 320, FLOWOOD, MS 39232
(601) 936-1400
(601) 936-0671
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
23946
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6271218
—
MS
Enumeration date
04/11/2011
Last updated
09/17/2019
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