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Individual

VINITA GULANIKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 376-1848
(601) 376-1894
Mailing address
PO BOX 7539, JACKSON, MS 39284-7539
(601) 376-1848
(601) 376-1894

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
16108
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00120761
MS
Enumeration date
10/02/2006
Last updated
07/08/2007
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