Individual
DR. SWATHI MUTHYAM MOGULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
971 LAKELAND DR STE 356, JACKSON, MS 39216-4607
(601) 200-4644
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(985) 730-6710
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30433
MS
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
30433
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2018
Last updated
12/14/2023
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