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

Individual provider Pediatrics Physician · NPI 1710113998

Dr. Viswanath Gajula, MD is a Pediatrics Physician in Jackson, Mississippi. Licensed in Michigan and Mississippi. Registered with an NPI since 2009.

Licensed in
MI, MS
In the registry since
2009
Specialties on file
3
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

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 815-8173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence 23809 (MS)
Pediatrics Physician Taxonomy 208000000X · Licence 4301094415 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4301094415 (MI)

Record details

NPI number1710113998
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2009
Last updated in NPPESSeptember 10, 2015

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