Pujari, Achyutha S
Pujari, Achyutha S is an individual health care provider with primary practice located at 1203 Ave B Ste 200, Ellisville MS 39437-2080. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Pujari, Achyutha S can be contacted via phone (601) 477-3550.Contact Information
Primary practice address
1203 Ave B Ste 200
Ellisville MS 39437-2080
Phone: (601) 477-3550
Fax: (601) 477-2236
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 18395 | Mississippi |
Profile Details
NPI number | 1518911445 |
---|---|
LBN Legal business name | Pujari, Achyutha S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 22nd, 2006 |
Last updated | Feb 11th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518911445 | NPPES |
Mississippi | MEDICAID | 06877724 |
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