Individual
DR. SESHADRI RAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
971 LAKELAND DR, SUITE 401, JACKSON, MS 39216-4643
(601) 939-4230
(601) 932-4133
Mailing address
PO BOX 22669, JACKSON, MS 39225-2669
(601) 939-4230
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
06665
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00014060
—
MS
Enumeration date
07/09/2006
Last updated
02/18/2013
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