Individual
VEENA SHENOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216-4500
(601) 984-1530
Mailing address
2500 NORTH STATE STREET, JMM SUITE 2525, JACKSON, MS 39216-4500
(601) 815-9528
(601) 984-6439
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
18416
MS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
18416
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01705861
—
MS
05
—
139848
—
AL
05
—
157191
—
AL
Enumeration date
10/17/2006
Last updated
08/27/2018
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