NAZMUL TALUKDAR (NPI# 1649466954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649466954 |
| Entity Type | Individual |
| Full Name | NAZMUL TALUKDAR |
| Credential | M.D. |
| Practice Address |
110 Patton Ave Hattiesburg MS 39401-6155 |
| Mailing Address |
110 Patton Ave Po Box 1030 Hattiesburg MS 39401-6155 |
| Practice Telephone | 6015821111 |
| Practice Fax Number | 6014500765 |
| Mailing Telephone | 6015821111 |
| Mailing Fax Number | 6014500765 |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2010-11-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
21072 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
110 PATTON AVE |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401-6155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811402043 | Amanda Gregory | Counselor | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2017-12-11 |
| 1164937314 | Tamecia Myers | Social Worker | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2017-12-11 |
| 1992210140 | Lisa Warner | Marriage & Family Therapist | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2017-12-11 |
| 1811413685 | Lakeshia Triplett | Counselor | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2017-08-14 |
| 1891219069 | Sophia Badon | Counselor | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2017-07-31 |
| 1578087748 | Kertrina Beverly | Counselor | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2017-07-31 |
| 1740704923 | Franciel Brown | Counselor | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2017-07-31 |
| 1245753060 | William Taylor | Counselor | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2017-07-24 |
| 1871016600 | Kyle Birdwell | Social Worker | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2017-07-24 |
| 1740703578 | Torrance Wade | Counselor | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2017-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
| 1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
| 1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
| 1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
| 1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| Find all providers in zip 39401 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023363173 | Kelechi Nnamdi Emereonye | Psychiatry & Neurology | 4100 Mamie St, Hattiesburg, MS 39402-1735 | 2012-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932321742 | Otis Anderson IIi | Psychiatry & Neurology | 5185 Getwell Rd, Southaven, MS 38671-9691 | 2007-05-02 |
| 1770609364 | Gerri L Hill Chance | Psychiatry & Neurology | 206 Robert Mcdaniel Drive, Hazelhurst, MS 39083 | 2007-03-22 |
| 1841337656 | Cynthia Lufkin Undesser | Psychiatry & Neurology | 402 Wesley Ave, Jackson, MS 39202-1000 | 2007-01-31 |
| 1932290392 | Millcreek Epsdt | Psychiatry & Neurology | 900 First Ave., N.e., Magee, MS 39111 | 2006-09-28 |
| 1639620560 | North Plantation | Psychiatry & Neurology | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-15 |
| 1710175260 | Clinical Neuroscience Group, Pllc | Psychiatry & Neurology | 3531 Lakeland Dr, Suite 1058, Flowood, MS 39232-8049 | 2007-10-10 |
| 1992906598 | Maecenas Inc | Psychiatry & Neurology | 206 Robert Mcdaniel Drive, Hazlehurst, MS 39083-0146 | 2007-05-30 |
| 1154477453 | Anthony Wade Jackson Sr. | Psychiatry & Neurology | 152 Highway 7 S, Oxford, MS 38655-5392 | 2007-01-27 |
| 1073684940 | Timothy Summers | Psychiatry & Neurology | 1818 College Drive, Meridian, MS 39307-5429 | 2006-11-13 |
| 1548357643 | Scott Rodgers | Psychiatry & Neurology | 2500 N State St, Jackson, MS 39216-4500 | 2006-10-09 |
| Find all providers with the same taxonomy | ||||
| City | HATTIESBURG |
| Zip Code | 39401 |
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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.