Individual
DR. RAGHAVENDRAN GOUD GAJAGOWNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216
(601) 815-1368
Mailing address
770 LAKELAND DR, APT # 225, JACKSON, MS 39216-4652
(601) 609-3003
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
818-L
MS
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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