Individual
HEMA EDUPUGANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 867-5201
(228) 867-3152
Mailing address
PO BOX 1810, GULFPORT, MS 39502-1810
(228) 575-1194
(228) 575-2917
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18308
MS
208M00000X
Hospitalist Physician
18308
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05480269
—
MS
Enumeration date
07/29/2006
Last updated
10/12/2023
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