Individual
ASHISH GUMMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
504 CLINTON CENTER DR STE 4300, CLINTON, MS 39056-5610
(601) 496-9524
(601) 815-0434
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35 130517
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/13/2012
Last updated
09/14/2023
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