Provider Demographics
NPI:1972515930
Name:DIXIT, NAZNIN M (MD DM)
Entity Type:Individual
Prefix:DR
First Name:NAZNIN
Middle Name:M
Last Name:DIXIT
Suffix:
Gender:F
Credentials:MD DM
Other - Prefix:DR
Other - First Name:NAZNIN
Other - Middle Name:
Other - Last Name:KHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD DM
Mailing Address - Street 1:2500 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-4500
Mailing Address - Country:US
Mailing Address - Phone:601-984-5246
Mailing Address - Fax:601-815-3672
Practice Address - Street 1:2500 N STATE ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4500
Practice Address - Country:US
Practice Address - Phone:601-984-5246
Practice Address - Fax:601-815-3672
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS212292080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS01309086Medicaid
FL271931200Medicaid
FL64374OtherBCBS
MS302I467244Medicare PIN
MS01309086Medicaid
MS302I460684Medicare PIN