| Pradeep Kumar Selvaraj, MD | |
|
451 Bank St, Woodville, MS 39669-6000 | |
| (601) 888-3421 | |
| (601) 888-3685 |
| Full Name | Pradeep Kumar Selvaraj |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 28 Years |
| Location | 451 Bank St, Woodville, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053545913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 22109 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sta Home Health And Hospice | Clinton, MS | Home health agency |
| Field Health System | Centreville, MS | Hospital |
| Merit Health Natchez | Natchez, MS | Hospital |
| Lane Regional Medical Center | Zachary, LA | Hospital |
| Southwest Ms Regional Medical Center | Mccomb, MS | Hospital |
| Baton Rouge General Medical Center | Baton rouge, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Field Memorial Community Hospital | 0547248544 | 40 |
| Entity Name | Field Memorial Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881648376 PECOS PAC ID: 0547248544 Enrollment ID: O20040707001237 |
| Mailing Address | Practice Location Address |
|---|---|
| Pradeep Kumar Selvaraj, MD 178 Highway 24 E, Centreville, MS 39631-4171 Ph: (601) 890-0500 | Pradeep Kumar Selvaraj, MD 451 Bank St, Woodville, MS 39669-6000 Ph: (601) 888-3421 |
Robert L Lewis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 451 Bank St, Woodville, MS 39669 Phone: 601-888-3421 Fax: 601-888-3685 |