Shirisha Kamidi, MD | |
7601 Southcrest Pkwy, Southaven, MS 38671-4739 | |
(662) 772-2980 | |
(662) 772-2960 |
Full Name | Shirisha Kamidi |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 14 Years |
Location | 7601 Southcrest Pkwy, Southaven, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285041665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25781 (Mississippi) | Primary |
207R00000X | Internal Medicine | 59154 (Tennessee) | Secondary |
208M00000X | Hospitalist | E-13324 (Arkansas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Memorial Hospital Desoto | Southaven, MS | Hospital |
Baptist Memorial Hospital-crittenden, Inc | West memphis, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Memorial Medical Group, Inc. | 5193610228 | 432 |
Baptist Memorial Medical Group, Inc. | 5193610228 | 432 |
Entity Name | Baptist Memorial Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306089206 PECOS PAC ID: 5193610228 Enrollment ID: O20101011000028 |
Mailing Address | Practice Location Address |
---|---|
Shirisha Kamidi, MD 965 Ridge Lake Blvd Ste 103, Memphis, TN 38120-9446 Ph: () - | Shirisha Kamidi, MD 7601 Southcrest Pkwy, Southaven, MS 38671-4739 Ph: (662) 772-2980 |
Shan Shah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-2980 Fax: 662-772-2960 | |
Sohail A Minhas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7900 Airways Blvd Ste 100, Southaven, MS 38671 Phone: 662-349-2442 Fax: 662-349-8551 | |
Mr. Mahfuzur Rahman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 728 Goodman Rd E, Ste 2, Southaven, MS 38671 Phone: 662-349-1750 Fax: 662-349-2350 | |
Dr. Jimmy Darrell Sneed, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir Ste 200, Southaven, MS 38671 Phone: 901-271-1000 Fax: 901-271-4187 | |
Dr. Lily Herbert, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7680 Airways Blvd, Southaven, MS 38671 Phone: 662-349-1999 Fax: 662-349-9734 | |
Dr. Michael Henry Vaughan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-2980 Fax: 662-772-2960 | |
Nfn Sumedha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-2980 Fax: 662-772-2960 |