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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588457394

Shivum Kumar Desai is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2025
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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 620-7817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MS)

Record details

NPI number1588457394
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 24, 2025
Last updated in NPPESMay 24, 2025
Certification dateMay 24, 2025
Mailing address802 Lakeland Dr Apt 260, Jackson, MS 39216-4623

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