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

RIICHI ANDRE OTA, M.D.

Active Sole Proprietor

RIICHI ANDRE OTA, M.D. is a Neurology healthcare provider located in JACKSON, Mississippi. NPI 1891318127 is currently active in the NPPES registry. Verify at CMS.

Neurology · JACKSON, MS

Registration Details

NPI Number
1891318127
Provider Type
Individual
Gender
Male
NPI Issued
May 21, 2020 (6.2598471444642 yrs)
Last Updated
Oct 15, 2025
Licenses
A194002 (CA)
36082 (LA)
Sole Proprietor
Yes

Practice Information

Address
971 LAKELAND DR STE 557
JACKSON, MS, 392164661
Browse MS providers · Browse ZIP 39216
Phone
6012004560
Fax
6012004580
Primary Specialty
Neurology
2084N0400X
Additional Specialty
Neurology

Other Neurology Providers in JACKSON, MS

Name Credential NPI
JIMMY V WOLFE M.D. 1093791220
DR. RUTH KELLUM FREDERICKS M.D. 1730138843
KATHLEEN A. MESSENGER M.D. 1174574701
DR. SALIL CHANDRA TIWARI MD 1922039528
DR. ERIC KARL UNDESSER MD, PHD 1124051321
DR. ETHEL S. ROSE MD 1376568568
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.