Amita Maibam (NPI# 1487020806, PAC ID# 6901179639) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1487020806 |
| PAC ID by PECOS | 6901179639 |
| Professional Enrollment ID | I20190813003147 |
| Full Name | Amita Maibam |
| Organization Legal Name | NEPHROLOGY AND HYPERTENSION ASSOCIATES LTD |
| Address |
1542 Medical Park Cir Tupelo MS 38801-6560 |
| Phone Number | 6628444711 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 1254327554 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250004 | NORTH MISSISSIPPI MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3301 Tinin Dr, Corinth, MS 38834-9054 | 6628444711 | NEPHROLOGY AND HYPERTENSION ASSOCIATES LTD |
| 1542 Medical Park Cir, Tupelo, MS 38801-6560 | 6628444711 | NEPHROLOGY AND HYPERTENSION ASSOCIATES LTD |
| Organization Legal Name | NEPHROLOGY AND HYPERTENSION ASSOCIATES LTD |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathy J Thomas | Nurse Practitioner | Nephrology and Hypertension Associates Ltd | 1790 Barron St, Oxford, MS 38655-5705 |
| John Martin Lee | Nephrology | Nephrology and Hypertension Associates Ltd | 1542 Medical Park Cir, Tupelo, MS 38801-6560 |
| Marcus Louis Britton | Nephrology | Nephrology and Hypertension Associates Ltd | 1256 Military St S, Hamilton, AL 35570-5003 |
| Christy F Jaggers | Nurse Practitioner | Nephrology and Hypertension Associates Ltd | 1542 Medical Park Cir, Tupelo, MS 38801-6560 |
| Son G Lam | Nephrology | Nephrology and Hypertension Associates Ltd | 1790 Barron St, Oxford, MS 38655-5705 |
| Thomas Wooldridge | Nephrology | Nephrology and Hypertension Associates Ltd | 1542 Medical Park Cir, Tupelo, MS 38801-6560 |
| Trenton D Gray | Nurse Practitioner | Nephrology and Hypertension Associates Ltd | 1542 Medical Park Cir, Tupelo, MS 38801-6560 |
| Morris R Hamilton | Nephrology | Nephrology and Hypertension Associates Ltd | 1790 Barron St, Oxford, MS 38655-5705 |
| Tzonko V Milev | Nephrology | Nephrology and Hypertension Associates Ltd | 1256 Military St S, Hamilton, AL 35570-5003 |
| Christopher D Miller | Nephrology | Nephrology and Hypertension Associates Ltd | 1790 Barron St, Oxford, MS 38655-5705 |
| Street Address |
1542 MEDICAL PARK CIR |
| City | TUPELO |
| State | MS |
| Zip | 38801-6560 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Martin Lee | Nephrology | Nephrology and Hypertension Associates Ltd | 1542 Medical Park Cir, Tupelo, MS 38801-6560 |
| Christy F Jaggers | Nurse Practitioner | Nephrology and Hypertension Associates Ltd | 1542 Medical Park Cir, Tupelo, MS 38801-6560 |
| Thomas Wooldridge | Nephrology | Nephrology and Hypertension Associates Ltd | 1542 Medical Park Cir, Tupelo, MS 38801-6560 |
| Trenton D Gray | Nurse Practitioner | Nephrology and Hypertension Associates Ltd | 1542 Medical Park Cir, Tupelo, MS 38801-6560 |
| Patricia Mcknight | Nurse Practitioner | Nephrology and Hypertension Associates Ltd | 1542 Medical Park Cir, Tupelo, MS 38801-6560 |
| Kenneth M Kellum | Nephrology | Nephrology and Hypertension Associates Ltd | 1542 Medical Park Cir, Tupelo, MS 38801-6560 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas Porter Anderson | Physician Assistant | 1514 Cr, 41 Magnolia Manor At Tupelo, Tupelo, MS 38801 | |
| Sylvia Blanchard | Nurse Practitioner | 109 Parkgate, Tupelo, MS 38801 | |
| Lloyd Perry Britt Jr. | Optometry | 2270 W Main, Suite A, Tupelo, MS 38801-3144 | |
| Katie Elizabeth Richardson | Optometry | 2005 W Main St, Suite 102, Tupelo, MS 38801-3214 | |
| Rickey H Bullard | Podiatry | 1902 W Main St, Tupelo, MS 38801-3228 | |
| Chika Uchechukwu Iwueke | Psychiatry | 1601 W Main St, Suite D, Tupelo, MS 38801-3300 | |
| James Byron Shipp | Ophthalmology | 1413 W Main St, Tupelo, MS 38801-3400 | |
| Michelle M Hill | Qualified Speech Language Pathologist | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Janet H Smith | Physical Therapy | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Lee A Stewart | Physical Therapy | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Find all physicians in zip 38801 | |||
| City | TUPELO |
| Zip Code | 38801 |
| Specialty | NEPHROLOGY |
| City + Specialty | TUPELO + NEPHROLOGY |
Please comment or provide details below to improve the information on Amita Maibam.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.