Individual
SRUJAN EDUPUGANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5540
(601) 984-5535
Mailing address
2500 N STATE ST, UNIVERSITY OF MISSISSIPPI MEDICAL CENTER, JACKSON, MS 39216-4500
(601) 815-0201
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
T-5719
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MS
Other
Enumeration date
07/25/2021
Last updated
07/23/2025
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