Individual
VENKATASUBRAMANIAN BASKARARAJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 LINCOLN PKWY, SUITE 202, HATTIESBURG, MS 39402-3262
(601) 288-8050
(601) 288-8058
Mailing address
1 LINCOLN PKWY, SUITE 202, HATTIESBURG, MS 39402-3262
(601) 288-8050
(601) 288-8058
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20658
MS
2084P0800X
Psychiatry Physician
658-L
MS
Other
Enumeration date
06/27/2007
Last updated
08/16/2013
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