Seshadri Raju, M.D., Pa. in Jackson - Vascular Surgery
Seshadri Raju, M.D., Pa. - NPI 1174556377
Seshadri Raju, M.D., Pa. is a Vascular Surgery in Jackson, Mississippi. Seshadri Raju, M.D., Pa. practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Seshadri Raju, M.D., Pa. is 1174556377. The last update date is 2019-06-11.
Seshadri Raju, M.D., Pa.'s current location address is 971 Lakeland Dr Ste 401, Jackson, Mississippi. You can contact this provider via phone number 6019394230 and fax number 6019395210. The mailing address for Seshadri Raju, M.D., Pa. is 971 Lakeland Dr Ste 401, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Seshadri Raju, M.D., Pa. |
|---|---|
| Address | 971 Lakeland Dr Ste 401, Jackson, Mississippi |
| Phone Number | 6019394230 |
| Fax Number | 6019395210 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BILLING MA |
|---|---|
| Authorized Official Name | Guinn Lynn Sarah |
| Telephone Number | 6019394230 |
NPI Number Detail
| NPI Number | 1174556377 |
|---|---|
| Provider Enumeration Date | 2006-07-09 |
| Last Updated Date | 2019-06-11 |
Provider Mailing Address Detail
| Address | 971 Lakeland Dr Ste 401 |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164607 |
| Phone Number | 6019394230 |
| Fax Number | 6019395210 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 6665 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9014607 | MS | -- |
Post Comment/ Review Below
What is the Seshadri Raju, M.D., Pa.'s 1174556377?
The Seshadri Raju, M.D., Pa.'s NPI (National Provider Identifier) Number is 1174556377. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Seshadri Raju, M.D., Pa. is physically located?
The Seshadri Raju, M.D., Pa. is situated at the following address: 971 Lakeland Dr Ste 401, Jackson, MS 392164607.
What is Seshadri Raju, M.D., Pa.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Seshadri Raju, M.D., Pa.'s area of specialization is Vascular Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0129X.
On what date was the 1174556377 assigned to Seshadri Raju, M.D., Pa.?
The Seshadri Raju, M.D., Pa. was issued its 1174556377 on 2006-07-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Seshadri Raju, M.D., Pa. most recently updated or revised?
The information pertaining to Seshadri Raju, M.D., Pa., including its address, specialty, and other relevant details, was last updated or revised on 2019-06-11.