Individual
DR. KUMARI V GUTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-2005
(601) 815-0434
Mailing address
2500 N. STATE STREET, CBO - SUITE 4200, JACKSON, MS 39216-4500
(601) 815-2005
(601) 815-0434
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
16340
MS
208M00000X
Hospitalist Physician
Primary
16340
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121571
—
MS
Enumeration date
08/28/2006
Last updated
03/11/2020
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