Viswanath Gajula MD

NPI 1710113998 - Pediatrics - 208000000X

NPI Details
NPI 1710113998
Gender Male
Enumeration Date 06/02/2009
Last Updated 08/21/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
2500 N STATE ST
JACKSON MS, 39216-4500, US
Phone (601) 815-8173
Fax
Business Location
2500 N STATE ST
JACKSON MS, 39216-4500, US
Phone (601) 815-8173
Fax
Toxanomy
Taxonomy Code 208000000X
License State Michigan
License Number 4301094415
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According to our database, Dr. Viswanath Gajula MD NPI is 1710113998, taxonomy code is 208000000X and license number is 4301094415, license state is located at Michigan. Viswanath Gajula MD physically located at 2500 N State St, Jackson MS, 39216-4500. NPI Number Viswanath Gajula MD has the Individual type.

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1710113998 NPI number is provided on an as is basis without warranty of any kind. 1710113998 is maintained by the National Plan & Provider Enumeration System. The contents of Viswanath Gajula MD are for informational purposes only.