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Contact Information

SRUJAN EDUPUGANTI, MBBS
2500 N STATE ST
JACKSON, MS39216-4500
 Phone: 601-984-5540
 Fax: 601-984-5535
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rheumatology

207RR0500X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for SRUJAN EDUPUGANTI · (Male)

NPI Number 1679246813
Status Active
Credentials MBBS
Entity Individual
Enumeration date 07/25/2021
Last updated 07/23/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • MS License # T-5719
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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