Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Internal Medicine Primary Care PA

Organization Internal Medicine Physician · NPI 1629542832

Internal Medicine Primary Care PA is an Internal Medicine Physician in Flowood, Mississippi. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

140 Daughdrill Sta
Flowood, MS 39232-8406
Phone: (601) 519-0509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1629542832
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Imad Tahboub — Owner · (601) 519-0509
NPI enumeratedJanuary 22, 2019
Last updated in NPPESJanuary 22, 2019
Mailing address140 Daughdrill Sta, Flowood, MS 39232-8406

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