HARISH M. MADNANI M.D.P.C (NPI# 1164682464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164682464 |
| Entity Type | Organization |
| Organization Name | HARISH M. MADNANI M.D.P.C |
| Other Organization Name | HARISH M. MADNANI |
| Practice Address |
251 Hospital Dr B Tylertown MS 39667-2025 |
| Practice Telephone | 6018766006 |
| Practice Fax Number | 6018763603 |
| Mailing Telephone | 6018766006 |
| Mailing Fax Number | 6018763603 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-08-18 |
| Authorized Official Name | DR. HARISH M MADNANI (PRESIDENT) |
| Authorized Official Telephone | 6018766006 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09015697 | 05 |
| Other Name | Type Code |
|---|---|
| HARISH M. MADNANI | Former Legal Business Name - Organization |
| Street Address |
251 HOSPITAL DR B |
| City | TYLERTOWN |
| State | MS |
| Zip Code | 39667-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891212221 | Lavarshia Newsome-pittman | Pharmacist | 3000 Plaza Drive, Tylertown, MS 39667 | 2017-08-25 |
| 1891171039 | Tanya Marie Holmes-morris | Home Health Aide | 42 West Mt. Olive Rd, Tylertown, MS 39667 | 2015-08-10 |
| 1376776930 | Family Health Care Clinic, Inc. | Clinic/Center | 225 Saint Paul Road, Tylertown, MS 39667 | 2009-08-31 |
| 1427221290 | Family Health Care Clinic, Inc. | Clinic/Center | 113 Enoch St, Tylertown, MS 39667 | 2008-04-11 |
| 1275651879 | John C Barrett | Dentist | 75 Old Hwy 98 E, Tylertown, MS 39667 | 2007-03-26 |
| 1497895551 | L & L Hospice, Inc. | Hospice Care, Community Based | 423 A Beulah, Tylertown, MS 39667 | 2007-02-07 |
| 1114009610 | Ruthie L Lewis | Licensed Practical Nurse | 423a Beulah Avenue, Tylertown, MS 39667 | 2006-10-20 |
| 1245512417 | Walthall General Hospital | Internal Medicine | 100 Hospital Drive, Tylertown, MS 39667 | 2011-09-14 |
| 1255649604 | Walthall General Hospital | General Acute Care Hospital | 200 Hospital Dr, Tylertown, MS 39667 | 2010-09-20 |
| 1407499296 | Belinda May Ratcliff | Pharmacist | 201 Hospital Dr, Tylertown, MS 39667-2019 | 2019-10-23 |
| Find all providers in zip 39667 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477564110 | Mohamed Bockarie Jah | Internal Medicine | 1201 22nd Ave, Meridian, MS 39301-4010 | 2006-08-10 |
| 1083610117 | Kurt F. Bruckmeier | Internal Medicine | 101 Asbury Cir, Hattiesburg, MS 39402-1302 | 2005-06-23 |
| 1740741362 | Safa Osman | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2019-03-27 |
| 1962865162 | Daniel Hester | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2016-04-04 |
| 1891194635 | Rola Abi Saleh | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2014-08-18 |
| 1528221009 | Vicky C Pilkington | Internal Medicine | 1200 N State St, Suite 480, Jackson, MS 39202-2000 | 2008-07-06 |
| 1477621324 | Beverly Gwen Windham | Internal Medicine | 2500 North State Street, Department of Medicine Division of Geriatrics, Jackson, MS 39216 | 2006-11-30 |
| 1396816989 | Holland M Addison | Internal Medicine | 1200 N State St, Suite 500, Jackson, MS 39202-2000 | 2006-11-13 |
| 1760598189 | William Frederick Seith Jr. | Internal Medicine | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2006-08-21 |
| 1457375909 | William M. Meeks | Internal Medicine | 2500 North State Street, Department of Medicine/division of Geriatrics, Jackson, MS 39216-4500 | 2006-07-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.