Individual
DR. ACHYUTHA S PUJARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1203 AVE B, STE 200, ELLISVILLE, MS 39437-2080
(601) 477-3550
(601) 477-2236
Mailing address
PO BOX 247, LAUREL, MS 39441-0247
(601) 399-6167
(601) 399-6281
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
18395
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06877724
—
MS
Enumeration date
05/22/2006
Last updated
02/11/2014
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