Dr. Divya Shakti
MD | Pediatric Cardiology | Female
Dr. Divya Shakti, MD is a Jackson, Mississippi based Pediatric doctor with medical specialization in
Pediatric Cardiology. Dr. Divya Shakti is also known as
Divya Shakti Fnu.
Current practice location of Dr. Divya Shakti is
2500 North State Street, Jackson, Mississippi - 39216. She can be contacted on phone at
601-984-5250.
Dr. Divya Shakti is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Divya Shakti is
1659559300 which was assigned by NPPES on 05 Feb, 2008 and it was last updated on 21 Jul, 2022.
Dr. Divya Shakti license number is
23419 for Pediatrics Pediatric Cardiology (2080P0202X) in Mississippi.
Dr. Divya Shakti provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Dr. Divya Shakti basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
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| Provider Name : | Dr. Divya Shakti |
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| Other Name : | Divya Shakti Fnu |
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| Credential : | MD |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Divya Shakti address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2500 North State Street
Jackson, MS, 39216
United States |
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| Phone Number : | 601-984-5250 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1659559300 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Feb, 2008 |
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| Last Updated On : | 21 Jul, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Divya Shakti are as mentioned. Primary taxonomy code for Dr. Divya Shakti, MD is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | 4301090267 | MI |
| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | 23419 | MS |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Divya Shakti such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 05487537 | MEDICAID | MS | |
| 998912 | Other | MI | DMC EMPLOYEE ID NUMBER |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2500 North State Street
Jackson, MS, 39216
United States |
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| Phone Number : | 601-984-5250 |
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Business Location:
Patients can refer following map for directions to
Dr. Divya Shakti practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.