PRADEEP KUMAR VAITLA, MD
Osteopathic Medicine at State St, Jackson, MS

License number
Mississippi MD.206335
Category
Osteopathic Medicine
Type
Nephrology
License number
Mississippi 24433
Category
Osteopathic Medicine
Type
Nephrology
Address
Address
2500 NORTH State St, Jackson, MS 39216
Phone
(601) 984-5681
(601) 984-5165 (Fax)
National Provider ID: 1255645446
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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