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Contact Information

ANANYA VASUDHAR
2500 N STATE ST
JACKSON, MS39216-4500
 Phone: 224-727-9829
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ANANYA VASUDHAR · (Female)

NPI # 1245933357
Status Active
Credentials
Entity Individual
Enumeration date 03/27/2023
Last updated 07/23/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MS License # T-5176
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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