Provider Demographics
NPI:1750592150
Name:NATCHEZ REGIONAL MEDICAL CENTER
Entity type:Organization
Organization Name:NATCHEZ REGIONAL MEDICAL CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:SAJJAD
Authorized Official - Middle Name:
Authorized Official - Last Name:MUEED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:601-442-3690
Mailing Address - Street 1:PO BOX 14149
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70898-4149
Mailing Address - Country:US
Mailing Address - Phone:225-924-9827
Mailing Address - Fax:225-924-9829
Practice Address - Street 1:46 SERGEANT PRENTISS DR
Practice Address - Street 2:SUITE 201
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120-4792
Practice Address - Country:US
Practice Address - Phone:225-924-9827
Practice Address - Fax:225-924-9829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS18393174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS06473302Medicaid
MS1124182860OtherNPI
LA1462217Medicaid
MS06736508Medicaid
MS06736508Medicaid
LA1462217Medicaid
MSG90062Medicare UPIN
MS06736508Medicaid