Individual
DR. KUSHNA K DAMALLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 N STATE ST, CLARKSDALE, MS 38614-6100
(662) 627-7361
(662) 627-1158
Mailing address
2000 N STATE ST, CLARKSDALE, MS 38614-6100
(662) 627-7361
(662) 627-1158
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
18061
MS
207V00000X
Obstetrics & Gynecology Physician
Primary
35758
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09035591
—
MS
01
—
150159001
ARK MEDICAID
MS
01
—
82604
ARK BCBS
MS
Enumeration date
09/21/2005
Last updated
02/09/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us