Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Desoto Primary Care Clinic, PLLC

Organization Family Medicine Physician · NPI 1477643732

Desoto Primary Care Clinic, PLLC provides Family Medicine Physician services in Olive Branch, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6942 Autumn Oaks Dr
Olive Branch, MS 38654-9379
Phone: (901) 517-9171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 18277 (MS)

Record details

NPI number1477643732
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laju Kumar — Sole Owner · (901) 517-9171
NPI enumeratedOctober 14, 2006
Last updated in NPPESAugust 22, 2020
Mailing address6942 Autumn Oaks Dr, Olive Branch, MS 38654-9379

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