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NPI Code Detail

MEDICARE: SHANTWANIA AREONESIA BUCHANAN M.D.

MEDICARE: SHANTWANIA AREONESIA BUCHANAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianC00141026CA
2207V00000XObstetrics & Gynecology Physician19033MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417971029
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANTWANIA AREONESIA BUCHANAN M.D.
Provider Business Mailing Address
First Line : 616 ALCORN DR
Second Line :
City : CORINTH
State : MS
Zip : 38834-9393
Country : US
Telephone Number : 662-286-0206
Fax Number : 662-665-0068
Provider Business Practice Location Address
First Line : 616 ALCORN DR
Second Line :
City : CORINTH
State : MS
Zip : 38834-9393
Country : US
Telephone Number : 662-286-0206
Fax Number : 662-665-0068
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 01/08/2025

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Directions to “ SHANTWANIA AREONESIA BUCHANAN M.D.” Practice Location

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