Andrew Dosdos

Individual provider Active NPI Internal Medicine Physician · Corinth, MS

NPI 1538058748 · NPPES record last updated Jul 1, 2025

Key facts

NPI
1538058748
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
T-5669 (MS)
Practice address
611 Alcorn Dr
Corinth, MS 38834-9321
Phone
(561) 373-8884
NPI assigned
Jul 1, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
T-5669MSMDInternal Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T-5669 MS Yes

Addresses

Primary practice location

611 Alcorn Dr
Corinth, MS 38834-9321

Mailing address

611 Alcorn Dr
Corinth, MS 38834-9321
Phone (561) 373-8884

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 1, 2025.

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1538058748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349321",
            "telephone_number": "561-373-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349321",
            "telephone_number": "561-373-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSDOS",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "T-5669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

All providers in Corinth, MS · Internal Medicine Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.