Individual provider · Type 1 NPI

Pradeep Kumar Vaitla, MD

Nephrology Physician · Jackson, MS

NPI number 1255645446 Active

Practice location

2500 North State Street
Jackson, MS 39216-4500

Call (601) 984-5065 Map

Fax (601) 984-2962

Specialties and licenses

TaxonomyCodeLicense
Nephrology Physician 207RN0300XMD.206335 (LA)
Nephrology Physician Primary 207RN0300X24433 (MS)

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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About NPI 1255645446

Pradeep Kumar Vaitla, MD's National Provider Identifier is 1255645446, issued on Jul 30, 2010. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Jackson, MS. The record was last updated on Jul 2, 2019.