Raju, Seshadri

Raju, Seshadri is an individual health care provider with primary practice located at 971 Lakeland Dr Suite 401, Jackson MS 39216-4643. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Raju, Seshadri can be contacted via phone (601) 939-4230.

Contact Information

Primary practice address
971 Lakeland Dr Suite 401 Jackson MS 39216-4643
Phone: (601) 939-4230
Fax: (601) 932-4133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 06665 Mississippi

Profile Details

NPI number 1215960414
LBN Legal business name Raju, Seshadri
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Feb 18th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215960414 NPPES
Mississippi MEDICAID 00014060

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