Individual
VISHNU SAIVARDHAN REDDY PALYAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4500 13TH ST MEMORIAL HOSPITAL,, GULFPORT, MS 39501
(228) 822-6512
(228) 575-1937
Mailing address
4500 13TH ST MEMORIAL HOSPITAL,, GULFPORT, MS 39501
(228) 822-6512
(228) 575-1937
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
T-5936
MS
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/23/2025
Last updated
08/14/2025
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