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

Eleni Marie Mijalis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699354019

Eleni Marie Mijalis is an Otolaryngology in Jackson, Mississippi. Graduated from Louisiana State University School of Medicine in Shreveport in 2021, 5 years ago. Licensed in Mississippi.

Years since qualifying
5
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
MS
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 815-3037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence T-4423 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699354019
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 4, 2021
Last updated in NPPESSeptember 9, 2021
Certification dateAugust 23, 2021

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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