Individual
DR. KEERTHI BANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 288-4329
(601) 579-5240
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 288-4329
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
23500
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07977047
—
MS
Enumeration date
07/22/2011
Last updated
02/24/2017
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