Individual
VISHNU GARLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 NORTH STATE STREET, DIVISION OF ENDOCRINOLOGY, JACKSON, MS 39216-4500
(601) 984-5525
(601) 984-5769
Mailing address
2500 NORTH STATE STREET, JACKSON, MS 39216-4500
(601) 984-5525
(601) 984-5769
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
22669
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07801363
—
MS
Enumeration date
06/26/2009
Last updated
11/29/2016
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