Organization
SAI SANJEEVANI MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GOWDHAMI MOHAN MD (MEDICAL DIRECTOR)
(662) 351-0702
Entity
Organization
Contact information
Practice address
785 OHIO AVE, CLARKSDALE, MS 38614-6217
(662) 351-0702
Mailing address
785 OHIO AVE, CLARKSDALE, MS 38614-6217
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
02/07/2024
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