Provider Demographics
NPI:1942405683
Name:FELDMAN, SANDOR (MD)
Entity type:Individual
Prefix:DR
First Name:SANDOR
Middle Name:
Last Name:FELDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 LAIRD AVE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39110-7670
Mailing Address - Country:US
Mailing Address - Phone:601-856-8160
Mailing Address - Fax:601-856-8160
Practice Address - Street 1:119 LAIRD AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:MS
Practice Address - Zip Code:39110-7670
Practice Address - Country:US
Practice Address - Phone:601-856-8160
Practice Address - Fax:601-856-8160
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS114602080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases