AMITA MAIBAM

TUPELO, MS
NPI1487020806
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: MS  26530)
Enumeration Date2015-08-19
Last Update Date2019-08-12
Business Address
AMITA MAIBAM M.D.
1542 MEDICAL PARK CIR
TUPELO, MS 38801-6560
Phone number: 662-844-4711
Mailing Address
AMITA MAIBAM M.D.
1542 MEDICAL PARK CIR
TUPELO, MS 38801-6560
Phone number: 662-844-4711
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