Individual provider · Type 1 NPI

Jaiyanth Thayabaran, MD

Student in an Organized Health Care Education/Training Program · Southaven, MS

NPI number 1366232159 Active

Practice location

7736 Airways Blvd
Southaven, MS 38671

Call (662) 772-3700 Map

Mailing address

7601 Southcrest Pkwy
Southaven, MS 38671-4739

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366232159

Jaiyanth Thayabaran, MD's National Provider Identifier is 1366232159, issued on May 7, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Southaven, MS. The record was last updated on May 21, 2026.