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RICHARD D DESHAZO MD
NPI 1225072838
Internal Medicine - Allergy & Immunology in Jackson, MS

Active since June 15, 2006
878 LAKELAND DR, LB-BUILDING, JACKSON, MS 39216(601) 815-1078(601) 984-6994 Get Directions Write a Review

NPPES record last updated: September 25, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Richard D Deshazo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD D DESHAZO MD (NPI 1225072838) is an individual allergy & immunology provider in Jackson, Mississippi, licensed in Mississippi (15660) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1225072838
Entity TypeIndividualMale
Primary Taxonomy207RA0201X
Provider Legal NameRICHARD D DESHAZOCredential: MD
Location Address878 LAKELAND DR, LB-BUILDINGJackson, MS 39216-4500
Mailing Address878 Lakeland Dr, Lb-buildingJackson, MS 39216-4500 · (601) 815-1078 · Fax (601) 984-6439
Phone(601) 815-1078
Fax(601) 984-6994
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateSeptember 25, 2015
✔ NPI 1225072838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Allergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0201X
License✔ Licensed in MS · 15660
Definition
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
878 LAKELAND DR, Jackson, MS 39216
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Other Identifiers 3

Medicare UPINC67445MS
Medicare PIN302I037060MS
Medicaid0019701MS

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOLLY PEEPLES M.D.
Family Medicine
878 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 984-6800
SUDHEER TANGELLA MD
Family Medicine
878 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 984-6800
MR. JAMES A. CLOY M.D.
Family Medicine
878 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 984-6800
MR. PATRICK O SMITH P.H.D.
Psychologist (Clinical)
878 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 984-6800
PATRICK DALE WHIPPLE M.D.
Family Medicine
878 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 984-6800
DR. STEPHEN F KEMP MD
Allergy & Immunology
878 LAKELAND DR, LB-BUILDING
JACKSON, MS 39216
Hinds County (601) 815-1078
DR. GAILEN DAUGHERTY MARSHALL MD
Internal Medicine (Allergy & Immunology)
878 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 815-1078
MR. ROBERT FORBES M.D.
Family Medicine
878 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 984-6800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Deshazo's NPI number?

The NPI number for Richard Deshazo is 1225072838. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Richard Deshazo located?

Richard Deshazo practices at 878 Lakeland Dr Lb-Building, Jackson, MS 39216. The listed phone number is (601) 815-1078.

What is Richard Deshazo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Allergy & Immunology, with taxonomy code 207RA0201X.

When was this NPI record last updated?

The NPPES record for Richard Deshazo was last updated on September 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.