Individual
PRAKHAR VIJAYVARGIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5560
Mailing address
504 CLINTON CENTER DRIVE, CBO - SUITE 4300, CLINTON, MS 39056-5610
(601) 984-5560
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
27590
MS
390200000X
Student in an Organized Health Care Education/Training Program
TRN# 18751
FL
Other
Enumeration date
06/27/2013
Last updated
08/08/2022
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