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Dr. Viswanath Gajula, MD
Pediatric Critical Care Medicine Physician in Jackson, Mississippi
NPI 1710113998

Viswanath Gajula is a Pediatric Critical Care Medicine Physician based in Jackson, MS and is specialized in Pediatric Critical Care Medicine. Viswanath Gajula practices in Jackson, MS and has the professional credentials of MD. The NPI Number for Viswanath Gajula is 1710113998 and holds a License No. 4301094415 (Mississippi).

The current practice location address for Viswanath Gajula is 2500 N State St, Jackson, MS and can be reached out via phone at 601-815-8173.

Location: 2500 N State St, Jackson, MS, 39216-4500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710113998
Provider Name
Viswanath Gajula
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2500 N State St, Jackson, MS, 39216-4500
Phone Number
601-815-8173
Fax Number
Provider Enumeration Date
06/02/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05158239 05 MS
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
Jackson
State
Mississippi
Zip
39216-4500
Phone Number
601-815-8173
Fax Number
person
Provider Business Mailing Address Details
Address
2500 N State St
City
Jackson
State
Mississippi
Zip
39216-4500
Phone Number
601-815-8173
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
23809 (Mississippi)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Critical Care Medicine
Taxonomy
2080P0203X
License No.
4301094415 (Michigan)
Definition
A pediatrician 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.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
4301094415 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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