Kunal Bhatia, | |
2500 N State St, Jackson, MS 39216-4500 | |
(601) 815-2005 | |
(601) 815-0434 |
Full Name | Kunal Bhatia |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Neurocritical Care |
Location | 2500 N State St, Jackson, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790136851 | NPI | - | NPPES |
2016013565 | Other | MO | MISSOURI TEMPORARY LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 2016013565 (Missouri) | Secondary |
2084A2900X | Psychiatry & Neurology - Neurocritical Care | 29576 (Mississippi) | Primary |
Entity Name | State Of Mississippi - University Of Mississippi Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
Entity Name | South Central Clinics, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834 |
Mailing Address | Practice Location Address |
---|---|
Kunal Bhatia, 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 815-2005 | Kunal Bhatia, 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 815-2005 |
Lamar Davis Ii, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5275 | |
Dr. Patrick E Weldon, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 Phone: 601-376-2004 Fax: 601-376-2006 | |
Derek Letort, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St Ste 420, Jackson, MS 39202 Phone: 601-355-3353 Fax: 601-355-3365 | |
James Thompson, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Ummc Department Of Pediatrics, Jackson, MS 39216 Phone: 601-984-5200 Fax: 601-984-2086 | |
Dr. Jahanzeb Khan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 Fax: 601-815-0434 | |
Dr. Kelsey Hillhouse Carr, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5514 | |
Dr. Tiffany Hoi-yan Pike-lee, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 330-808-8117 |