Individual
DR. MECHERI SUNDARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216
(601) 984-5500
(601) 984-5499
Mailing address
2500N STATE ST, JMM ROOM 2525, JACKSON, MS 39216-4500
(601) 984-6426
(601) 984-6439
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
13713
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112950
—
MS
01
—
P00620822
RAILROAD MEDICARE
MS
Enumeration date
07/28/2006
Last updated
05/03/2016
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