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NPI Code Detail

MEDICARE: DR. DARAB SHUJA HANJRA MD

MEDICARE: DR. DARAB SHUJA HANJRA MD
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
1390200000XStudent in an Organized Health Care Education/Training ProgramMS

General Provider Information

NPI Number : 1205620341
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DARAB SHUJA HANJRA MD
Provider Business Mailing Address
First Line : 5001 HARDY ST
Second Line :
City : HATTIESBURG
State : MS
Zip : 39402-1308
Country : US
Telephone Number : 601-268-8000
Fax Number :
Provider Business Practice Location Address
First Line : 5001 HARDY ST
Second Line :
City : HATTIESBURG
State : MS
Zip : 39402-1308
Country : US
Telephone Number : 601-268-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2025
Last Update Date : 04/09/2026

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