DIVYA SHAKTI

JACKSON, MS
NPI1659559300
Former NameDIVYA SHAKTI FNU
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2080P0202X Pediatrics, Pediatric Cardiology
(Licence: MS  23419)
Additional Taxonomies208000000X Pediatrics
(Licence: MI  4301090267)
Enumeration Date2008-02-05
Last Update Date2022-07-21
Business Address
Dr. DIVYA SHAKTI MD
2500 NORTH STATE STREET
JACKSON, MS 39216
Phone number: 601-984-5250
Mailing Address
Dr. DIVYA SHAKTI MD
2500 NORTH STATE STREET
JACKSON, MS 39216
Phone number: 601-984-5250