HomeNPI Verification

NPI Verification

National Provider Identifier: 1124815352

Emmanuel Delase Agbeti, M.d

Individual Provider

Credentials

M.D

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

2500 NORTH STATE STREET

JACKSON, MS 39216

Phone: 601-984-5426

NPI Enumeration Date

April 22, 2025

NPI Number

1124815352

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry