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Contact Information

MIDSOUTH RHEUMATOLOGY
8274 HACKS CROSS RD STE 102
OLIVE BRANCH, MS38654-4009
 Phone: 901-370-7406
 Fax: 833-747-1287
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rheumatology

207RR0500X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MIDSOUTH RHEUMATOLOGY

NPI # 1932868908
LBN Legal business name MIDSOUTH RHEUMATOLOGY
Authorized official TINA PUTHALON KUNNATH - (OWNER/MD)
Entity Organization
Organization subpart 1 No
Enumeration date 12/16/2021
Last updated 02/02/2026 - About 4 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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