RICHARD D DESHAZO MD NPI 1225072838

NPI Information

  • NPI: 1225072838
  • Provider Name: RICHARD D DESHAZO, MD
  • Classification: Internal Medicine - 207RA0201X
  • Specialization: Allergy & Immunology
  • Entity Type: Individual
  • Address: 878 LAKELAND DR
    LB-BUILDING
    JACKSON, MS
    ZIP 39216
  • Phone: (601) 815-1078

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NPI Details

Richard D Deshazo, MD is an allergy and immunology internal medicine in Jackson, MS. The provider is an internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. Richard D Deshazo, MD NPI is 1225072838. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

878 LAKELAND DR
LB-BUILDING
JACKSON, MS
ZIP 39216-500
Phone: (601) 815-1078
Fax: (601) 984-6994

The enumeration date for this NPI number is 6/15/2006 and was last updated on 9/25/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RA0201XInternal MedicineAllergy & Immunology15660MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C67445MEDICARE UPINMISSISSIPPI
2302I037060MEDICARE PINMISSISSIPPI
30019701MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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