Pupa, Sandra H.
Pupa, Sandra H. is an individual health care provider with primary practice located at 1730A 14Th St , Meridian MS 39301-4140. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Pupa, Sandra H. can be contacted via phone (601) 703-4395.Contact Information
Primary practice address
1730A 14Th St
Meridian MS 39301-4140
Phone: (601) 703-4395
Fax: (601) 703-4394
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 13753 | Mississippi |
Profile Details
NPI number | 1558369645 |
---|---|
LBN Legal business name | Pupa, Sandra H. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 12th, 2005 |
Last updated | Nov 9th, 2013 - about 11 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 | 1558369645 | NPPES |
Alabama | MEDICAID | 009601090 | |
Alabama | Other | 300074586 | |
Alabama | Other | 730-74365 | |
Alabama | MEDICAID | 00115892 |
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