Individual
THIPAVAN BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
901 EAST SUNFLOWER ROAD, CLEVELAND, MS 38732
(662) 846-0061
(662) 846-2380
Mailing address
8910 FOREST RIDGE COVE, CORDOVA, TN 38018
(901) 751-8153
(901) 751-8153
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
09550
MS
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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