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Mal S Riddell, D.O. Clinic

Family Medicine Physician in Grenada, MS · enumerated 2009 · authorized official Mal Riddell, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962634170

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Registry record

Entity type Organization (Type 2)
Legal business name Mal S Riddell, D.O. Clinic
Practice address 1300 Sunset Dr, Suite B, Grenada, MS, 38901
Phone (662) 226-6430
Fax (662) 226-0018
Enumeration date Aug 20, 2009
Last updated in NPPES Jan 6, 2017

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 08590 (MS) Primary

Authorized official

Name Mal Riddell
Title Owner
Phone (662) 226-6430

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Mal S Riddell, D.O. Clinic located?
The practice location on file with NPPES is in Grenada, MS.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-01-06. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-01-06.