David Kevin Asa, MD
Individual provider Active NPI Rheumatology Physician · Tupelo, MS
NPI 1619949682 · NPPES record last updated Sep 16, 2008
Key facts
- NPI
- 1619949682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rheumatology Physician 207RR0500X
- License
- 18141 (MS)
- Practice address
- 845 S Madison St
Tupelo, MS 38801-4905 - Phone
- (662) 377-5930
- Fax
- (662) 377-5085
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18141 | MS | MD | Rheumatology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 18141 | MS | Yes |
Addresses
Primary practice location
845 S Madison St
Tupelo, MS 38801-4905
Mailing address
845 S Madison St
Tupelo, MS 38801-4905
Phone (662) 377-5930
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01821326 | Medicaid | MS |
Other providers in Tupelo, MS
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- Angela Renee' Arnold
- Mae Grace Arrington
- Richard Michael Arriola
- Sarah Cotton Ashmore
- Muhammad Aizaz Ashraf
- Aspire Wellness & Family Clinic
- Athletico, LTD
- Athletico, LTD
All providers in Tupelo, MS · Rheumatology Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.