Pupa, Sandra H.

Pupa, Sandra H. is an individual health care provider with primary practice located at 1730A 14Th St , Meridian MS 39301-4140. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Pupa, Sandra H. can be contacted via phone (601) 703-4395.

Contact Information

Primary practice address
1730A 14Th St Meridian MS 39301-4140
Phone: (601) 703-4395
Fax: (601) 703-4394
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 13753 Mississippi

Profile Details

NPI number 1558369645
LBN Legal business name Pupa, Sandra H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Nov 9th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558369645 NPPES
Alabama MEDICAID 009601090
Alabama Other 300074586
Alabama Other 730-74365
Alabama MEDICAID 00115892

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