Most Relevant Information
Provider Data
| NPI Number: | 1003267634 |
| Provider Name: | KAVIPRIYA KOMESWARAN |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | 125.069376 |
Most Important Dates
| Enumeration Date: | 06/24/2016 |
| Last Updated: | 08/26/2022 |
Provider Practice Location
2500 N STATE ST
JACKSON
MS
392164500
Practice Location Phone/Fax
| Phone: | 6018152005 |
| Fax: | 6018150434 |
Provider Mailing Location
2500 N STATE ST
JACKSON
MS
392164500
Provider Mailing Phone/Fax
| Phone: | 6018152005 |
| Fax: | 6018150434 |
Suggested EMR
Pediatrics EMR