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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FNU SAMRA MARIYAM

Active

FNU SAMRA MARIYAM is a Anatomic Pathology & Clinical Pathology healthcare provider located in JACKSON, Mississippi. NPI 1194517714 is currently active in the NPPES registry. Verify at CMS.

Anatomic Pathology & Clinical Pathology · JACKSON, MS

Registration Details

NPI Number
1194517714
Provider Type
Individual
Gender
Female
NPI Issued
May 20, 2025 (1.2654778782019 yrs)
Last Updated
Dec 4, 2025
License
T-5961 (MS)

Practice Information

Address
2500 NORTH STATE STREET
DEPARTMENT OF PATHOLOGY
JACKSON, MS, 39216
Browse MS providers · Browse ZIP 39216
Phone
6019841879
Primary Specialty
Anatomic Pathology & Clinical Pathology
207ZP0102X

Other Anatomic Pathology & Clinical Pathology Providers in JACKSON, MS

Name Credential NPI
DR. JAMES P ALMAS MD 1215934047
DR. JOHN C HANCOCK MD 1720067994
DR. JILL M WOODLIFF MD 1669451845
DR. JANIS P MCNEIL MD 1972582146
DR. VOLNEY E PIERCE MD 1144209313
RANDALL S SMITH MD 1760457980
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.