Venkata Durga Prasad Diddi

NPI 1720499825 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1720499825
Gender Male
Enumeration Date 05/12/2014
Last Updated 01/27/2015
Entity Type Individual
Active Over 2 years ago
Practice Location
2500 N STATE ST
JACKSON MS, 39216-4500, US
Phone (601) 815-1362
Fax
Business Location
2500 N STATE ST
JACKSON MS, 39216-4500, US
Phone (601) 815-1362
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State Mississippi
License Number 925-L
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According to our database, Dr. Venkata Durga Prasad Diddi NPI is 1720499825, taxonomy code is 2084P0800X and license number is 925-L, license state is located at Mississippi. Venkata Durga Prasad Diddi physically located at 2500 N State St, Jackson MS, 39216-4500. NPI Number Venkata Durga Prasad Diddi has the Individual type.

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1720499825 NPI number is provided on an as is basis without warranty of any kind. 1720499825 is maintained by the National Plan & Provider Enumeration System. The contents of Venkata Durga Prasad Diddi are for informational purposes only.