| Ennoble HC MS LLC | |
|
7048 Old Canton Rd Ste 2e Ridgeland MS 39157-1021 | |
| (551) 295-8223 | |
| Not Available |
| Full Name | Ennoble HC MS LLC |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 7048 Old Canton Rd Ste 2e, Ridgeland, Mississippi |
| Authorized Official Name and Position | Kush Das (OWNER) |
| Authorized Official Contact | 8628129010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ennoble HC MS LLC 2 University Plz Ste 204 Hackensack NJ 07601-6211 Ph: (551) 300-2628 | Ennoble HC MS LLC 7048 Old Canton Rd Ste 2e Ridgeland MS 39157-1021 Ph: (551) 295-8223 |
| NPI Number | 1467379891 |
|---|---|
| Provider Enumeration Date | 07/06/2026 |
| Last Update Date | 08/03/2026 |
| Certification Date | 08/03/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467379891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | () | Primary |
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