Individual
DR. THULASI RAM GUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 HIGHWAY 61 N, VICKSBURG, MS 39183-8211
(601) 883-5000
Mailing address
2100 HIGHWAY 61 N, VICKSBURG, MS 39183-8211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27736
MS
207R00000X
Internal Medicine Physician
Primary
U8729
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2017
Last updated
02/06/2024
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