Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Srinivasa Sanjay Surya Gorla, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679417836

Srinivasa Sanjay Surya Gorla, MD is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Registered with an NPI since 2026.

In the registry since
2026
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
Phone: (601) 984-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1679417836
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2026
Last updated in NPPESApril 17, 2026

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