Banda, Keerthi
Banda, Keerthi is an sole proprietor health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Banda, Keerthi can be contacted via phone (601) 288-4329.Contact Information
Primary practice address
415 S 28Th Ave
Hattiesburg MS 39401-7246
Phone: (601) 288-4329
Fax: (601) 579-5240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 23500 | Mississippi |
Profile Details
| NPI number | 1790063857 |
|---|---|
| LBN Legal business name | Banda, Keerthi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2011 |
| Last updated | Feb 24th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790063857 | NPPES |
| Mississippi | MEDICAID | 07977047 |
Popular Providers
-
Shahshahan, Ali
415 S 28Th Ave , Hattiesburg MS 39401-7246 -
Askew, Edward
415 S 28Th Ave , Hattiesburg MS 39401-7246 -
Habeeb, George E
415 S 28Th Ave , Hattiesburg MS 39401-7246 -
Morrison, Geralynn G.
415 S 28Th Ave , Hattiesburg MS 39401-7246 -
King, Thomas E
415 S 28Th Ave , Hattiesburg MS 39401-7246 -
Farrell, Steven E
1106 Windsor Dr , Hattiesburg MS 39402-2846 -
Owens, Cynthia Denise
5001 Hardy St , Hattiesburg MS 39402-1308 -
Corkern, Mary S
415 S 28Th Ave , Hattiesburg MS 39401-7246