Davila, Rene

Davila, Rene is an individual health care provider with primary practice located at 2500 North State Street Dept Of Medicine Division Of Digestive Disease, Jackson MS 39216-4505. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hepatology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Davila, Rene can be contacted via phone (601) 984-4540.

Contact Information

Primary practice address
2500 North State Street Dept Of Medicine Division Of Digestive Disease Jackson MS 39216-4505
Phone: (601) 984-4540
Fax: (601) 984-4548
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31854 Tennessee
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 31854 Tennessee
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 20542 Mississippi
Allopathic & Osteopathic Physicians / Hepatology 207RI0008X 31854 Tennessee

Profile Details

NPI number 1831155308
LBN Legal business name Davila, Rene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 3rd, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831155308 NPPES
Mississippi MEDICAID 00121826
Mississippi MEDICAID 3845260

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