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Individual

DR. RACHANA VAGHELA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3964 GOODMAN RD, STE 133, SOUTHAVEN, MS 38672
(662) 895-9498
(662) 890-4547
Mailing address
PO BOX 170, DEPT 150, SOUTHAVEN, MS 38671
(662) 895-9498
(662) 890-4547

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD0000035489
TN
208000000X
Pediatrics Physician
Primary
MS17312
MS

Other

Enumeration date
07/11/2006
Last updated
07/08/2007
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