Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Praneeth Kumar Reddy Bandaru, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366937989

Dr. Praneeth Kumar Reddy Bandaru, MD is a Gastroenterology in Jackson, Mississippi. Qualified in 2017, 9 years ago. Practices with Medical Foundation of Central Mississippi Inc, a 273-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
9
Licensed in
MS
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1200 N State St Ste 270
Jackson, MS 39202-2027
Phone: (601) 714-6470
Fax: (601) 714-6471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1200 N State St Ste 280, Jackson, MS 39202-2027 — (601) 714-6470
  • 1225 N State St, Jackson, MS 39202-2064 — (601) 968-5003
  • 401 Baptist Dr Ste 100, Madison, MS 39110-2012 — (601) 974-8000
  • 121 Dekalb Ave, Brooklyn, NY 11201-5425 — (718) 250-6604

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 35246 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366937989
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2018
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Medical Foundation Of Central Mississippi Inc — 273 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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