Amita Maibam, M.D.
NPI #1487020806 in Tupelo, Mississippi
Provider Information
- NPI Number
- 1487020806
- Entity Type
- Individual
- Name
- Amita Maibam, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Internal Medicine - Nephrology
- Credential
- M.D.
- Enumeration Date
- Aug 19, 2015
- Last Updated
- Aug 12, 2019
Practice Location
- Address
- 1542 MEDICAL PARK CIR
- City
- Tupelo
- State
- Mississippi
- ZIP Code
- 38801-6560
- Phone
- (662) 844-4711
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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