Dr. Viswanath Gajula
MD | Pediatric Critical Care Medicine | Male
Dr. Viswanath Gajula, MD is a Jackson, Mississippi based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Dr. Viswanath Gajula is
2500 N State St, Jackson, Mississippi - 39216-4500. He can be contacted on phone at
601-815-8173.
Dr. Viswanath Gajula is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Viswanath Gajula is
1710113998 which was assigned by NPPES on 02 Jun, 2009 and it was last updated on 10 Sep, 2015.
Dr. Viswanath Gajula license number is
23809 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Mississippi.
Dr. Viswanath Gajula is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Dr. Viswanath Gajula basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Dr. Viswanath Gajula |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Viswanath Gajula address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2500 N State St
Jackson, MS, 39216-4500
United States |
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| Phone Number : | 601-815-8173 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1710113998 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 Jun, 2009 |
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| Last Updated On : | 10 Sep, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Viswanath Gajula are as mentioned. Primary taxonomy code for Dr. Viswanath Gajula, MD is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 4301094415 | MI |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | 4301094415 | MI |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 23809 | MS |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Viswanath Gajula such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 05158239 | MEDICAID | MS | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2500 N State St
Jackson, MS, 39216-4500
United States |
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| Phone Number : | 601-815-8173 |
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Business Location:
Patients can refer following map for directions to
Dr. Viswanath Gajula practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.