Individual
SHANU PREETHA MOORTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
205A BELLE MEADE PT, FLOWOOD, MS 39232-3311
(601) 200-5678
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(601) 200-5678
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
33023
MS
207R00000X
Internal Medicine Physician
84112
SC
208000000X
Pediatrics Physician
Primary
33023
MS
208000000X
Pediatrics Physician
84112
SC
Other
Enumeration date
05/14/2020
Last updated
11/15/2025
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