Individual
SWETHA CHITTIPOLU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5540
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5540
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T-4392
MS
207RR0500X
Rheumatology Physician
Primary
T-4392
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2021
Last updated
07/27/2024
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