NPI 1316180870 · live from the CMS NPI Registry
Pegah Hosseini-Carroll, MD
Internal Medicine, Gastroenterology in Jackson, MS. National Provider Identifier 1316180870, active.
NPI record
| NPI | 1316180870 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 2500 North State Street, Jackson, MS 39216 |
| Practice phone | 601-984-4540 |
| Mailing address | 185 Green Glades, Ridgeland, MS 39157 |
| Enumerated | April 14, 2009 |
| Last updated | July 15, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | 24143 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.