Organization
MIDSOUTH INTERNAL MEDICINE PHYSICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAPAN K THAKUR (PRESIDENT)
(662) 536-3201
Entity
Organization
Contact information
Practice address
401 SOUTHCREST CIR, SUITE 104, SOUTHAVEN, MS 38671-6726
(662) 536-3201
(662) 349-2718
Mailing address
401 SOUTHCREST CIR, SUITE 104, SOUTHAVEN, MS 38671-6726
(662) 536-3201
(662) 349-2718
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/08/2007
Last updated
08/22/2020
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