Individual
DR. VISWANATH GAJULA
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) 815-8173
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-8173
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301094415
MI
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
23809
MS
390200000X
Student in an Organized Health Care Education/Training Program
4301094415
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05158239
—
MS
Enumeration date
06/02/2009
Last updated
09/10/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us