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

Amita Maibam, MD

Individual provider Nephrology Physician · NPI 1487020806

Amita Maibam, MD is a Nephrology in Tupelo, Mississippi. Qualified in 2007, 19 years ago. Practices with Nephrology and Hypertension Associates Ltd, a 19-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
19
Licensed in
MS
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1542 Medical Park Cir
Tupelo, MS 38801-6560
Phone: (662) 844-4711
Fax: (662) 844-9619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • University Of Kentucky 800 Rose St, Lexington, KY 40536-0293 — (859) 323-2636

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 26530 (MS)

Record details

NPI number1487020806
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 19, 2015
Last updated in NPPESAugust 12, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Nephrology And Hypertension Associates Ltd — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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