Dr Ishak Lukas Enggano, MD - Pathology in Tupelo, MS

Dr Ishak Lukas Enggano, MD is a Pathology - Anatomic Pathology & Clinical Pathology physician based in Tupelo, Mississippi. Dr Ishak Lukas Enggano is licensed to practice in Mississippi (license number 10209) and his current practice location is 830 S Gloster St, Tupelo, Mississippi. He can be reached at his office (for appointments etc.) via phone at (662) 620-1468.

NPI number for Dr Ishak Lukas Enggano is 1417995119 and his current mailing address is Po Box 1507, Tupelo, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417995119.

Contact Information

Dr Ishak Lukas Enggano, MD
830 S Gloster St,
Tupelo, MS 38801-4934
(662) 620-1468
(662) 844-8298



Physician's Profile

Full NameDr Ishak Lukas Enggano
GenderMale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location830 S Gloster St, Tupelo, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417995119
  • Provider Enumeration Date: 06/03/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Ishak Lukas Enggano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417995119NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 10209 (Mississippi)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ishak Lukas Enggano is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ishak Lukas Enggano, MD
Po Box 1507,
Tupelo, MS 38802-1507

Ph: (662) 620-1468
Dr Ishak Lukas Enggano, MD
830 S Gloster St,
Tupelo, MS 38801-4934

Ph: (662) 620-1468

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Pathology Doctors in Tupelo, MS

Dr. Richard Dwight Griswold, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 830 S Gloster St, Pathology Department, Tupelo, MS 38801
Phone: 662-377-3000    
Dr. Frances Jariel Hairston, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 830 S Gloster St, Pathology Department, Tupelo, MS 38801
Phone: 662-377-3000    
Dr. Cohra Colleen Mankey, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 830 S Gloster St, Pathology Dept, Tupelo, MS 38801
Phone: 662-620-7102    Fax: 662-620-7106
Dr. Curtis Lynn Collins, M.D.
Pathology
Medicare: Medicare Enrolled
Practice Location: 830 S Gloster St, Pathology Department, Tupelo, MS 38801
Phone: 662-377-3000    
Harold Edward Sightler, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 830 S Gloster St, Pathology Dept, Tupelo, MS 38801
Phone: 662-620-1468    
Lulin Hu, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 830 S Gloster St, Tupelo, MS 38801
Phone: 662-377-3000    Fax: 419-866-5453
Dr. Jerry Pascall Moore, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 146 Road 83, Tupelo, MS 38801
Phone: 662-407-0199    

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