FNU SAMRA MARIYAM – NPI #1194517714
Pathology

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

FNU SAMRA MARIYAM is a pathologist located in JACKSON, MS. NPPES has assigned the NPI number 1194517714 to FNU SAMRA MARIYAM on May 20, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ZP0102X from the Health Care Provider Taxonomy code set, which is classified as Pathology, specializing in Anatomic Pathology & Clinical Pathology

The NPI profile was last updated on Dec 04, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FNU SAMRA MARIYAM below.

NPI Profile for
FNU SAMRA MARIYAM

NPI Number
1194517714
Enumeration Date

(more than a year ago)
Entity Type
Type-1  Individual (Female)
Legal Name
FNU SAMRA MARIYAM
Primary location
2500 NORTH STATE STREET
DEPARTMENT OF PATHOLOGY
JACKSON, MS 39216
Phone: (601) 984-1879 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Dec 04, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.