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JAISIRI JAIWATANA M.D. NPI 1295760049


NPI Information

NPI: 1295760049
Provider Name: JAISIRI JAIWATANA, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
1500 E. WOODROW WILSON DRIVE
JACKSON, MS
ZIP 39216
Phone: (601) 362-4471
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Jaisiri Jaiwatana, M.D. is a specialist in Jackson, MS. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Jaisiri Jaiwatana, M.D. NPI is 1295760049. 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:

1500 E. WOODROW WILSON DRIVE
JACKSON, MS
ZIP 39216-199
Phone: (601) 362-4471
Fax: (601) 364-1588

The enumeration date for this NPI number is 7/11/2006 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistMD9250DISTRICT OF COLUMBIAYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.