| Magriss PLLC | |
|
391 Southcrest Cir Ste 209 Southaven MS 38671-6734 | |
| (662) 208-6234 | |
| (662) 208-6235 |
| Full Name | Magriss PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 391 Southcrest Cir Ste 209, Southaven, Mississippi |
| Authorized Official Name and Position | Srinivasa Varma Jampana (MD/OWNER) |
| Authorized Official Contact | 4129963369 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magriss PLLC 391 Southcrest Cir Ste 209 Southaven MS 38671-6734 Ph: (662) 208-6234 | Magriss PLLC 391 Southcrest Cir Ste 209 Southaven MS 38671-6734 Ph: (662) 208-6234 |
| NPI Number | 1013867167 |
|---|---|
| Provider Enumeration Date | 01/29/2026 |
| Last Update Date | 01/29/2026 |
| Certification Date | 01/29/2026 |
| Medicare PECOS PAC ID | 2365925302 |
|---|---|
| Medicare Enrollment ID | O20260309001993 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013867167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Ayesha Muzammil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730261686 PECOS PAC ID: 1153404801 Enrollment ID: I20080219000202 |
| Provider Name | Srinivasa Varma Jampana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548491673 PECOS PAC ID: 6002067907 Enrollment ID: I20121126000526 |
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