Individual
RAMACHANDRAM AVUSULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 N STATE ST, DEPARTMENT OF PSYCHIATRY, JACKSON, MS 39216-4500
(601) 815-1362
Mailing address
2500 N STATE ST, DEPARTMENT OF PSYCHIATRY, JACKSON, MS 39216-4500
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
867-L
MS
Other
Enumeration date
06/30/2013
Last updated
08/18/2013
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