Sathyamoorthy, Madhankumar
Sathyamoorthy, Madhankumar is an individual health care provider with primary practice located at 2500 N State St Univ Of Mississippi Medical Center, Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, which is considered as his primary health care specialty. Sathyamoorthy, Madhankumar can be contacted via phone (601) 984-5900.Contact Information
Primary practice address
2500 N State St Univ Of Mississippi Medical Center
Jackson MS 39216-4500
Phone: (601) 984-5900
Fax: (601) 984-5939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 22277 | Mississippi |
Profile Details
| NPI number | 1235244245 |
|---|---|
| LBN Legal business name | Sathyamoorthy, Madhankumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Aug 19th, 2016 - 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 | 1235244245 | NPPES |
| Mississippi | MEDICAID | 03325093 | |
| Mississippi | MEDICAID | 157034 | |
| Mississippi | MEDICAID | 2406469 |
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