Individual
DR. JYOTHSNA AKAM VENKATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-1432
(601) 984-5283
Mailing address
PO BOX 1810, GULFPORT, MS 39502-1810
(228) 575-1194
(228) 575-2917
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
27725
MS
Other
Enumeration date
07/11/2013
Last updated
06/02/2021
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