Female

Dr. Monica C. Koplas MD

Diagnostic Radiology Physician in Jackson, MS(View on Map)

Full Name

Dr. Monica Carolina Koplas MD

NPI Number

1548436132

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/02/2008

Specialties

(Taxonomies)

Code

2085R0202X

Primary Taxonomy

Yes

Licenses

State

Mississippi
Ohio

License Number

21084
57.009693

Contact
Information

Purpose

Mailing
Location

Address

2500 NORTH STATE STREET
2500 NORTH STATE STREET

City

Jackson
Jackson

State

MS
MS

Postal Code

39216
39216

Country

US
US

Telephone Number

(601) 984-2538
(601) 984-2538

Identifiers

Identifier

179448
P00846649
P01194859

Identifier State

AL
Unknown
MS

Identifier Issuer

Unknown
RAILROAD MEDICARE
RAILROAD MEDICARE PTAN

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/03/2016

Provider Address

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