Organization
MISS-LOU CT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIKRAMADITYA DULAM M.D. (MEMBER/MANAGER)
(601) 304-9718
Entity
Organization
Contact information
Practice address
140 JEFF DAVIS BLVD, SUITE B, NATCHEZ, MS 39120-5104
(601) 304-9718
(601) 304-9637
Mailing address
140 JEFF DAVIS BLVD, SUITE B, NATCHEZ, MS 39120-5104
(601) 304-9718
(601) 304-9637
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
012022
MS
Other
Enumeration date
07/11/2007
Last updated
07/17/2007
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