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Raviteja Naga Devalla

Vascular Surgeon

2500 N State St
Jackson , Mississippi 39216-4500

Write a Review Save Call QR Code
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Raviteja Naga Devalla

Vascular Surgeon

2500 N State St
Jackson , Mississippi 39216-4500

(478) 633-5153

Write a Review Save Call

Raviteja Naga Devalla

Vascular Surgeon

2500 N State St
Jackson , Mississippi 39216-4500

(478) 633-5153 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Vascular Surgeon

Languages spoken

  • English

Location

2500 N State St Jackson , Mississippi 39216-4500

First Address

  • Raviteja Naga Devalla
  • 2500 N State St
  • Jackson, MS
  • Zip : 39216-4500
  • Fax : (478) 633-5153
  • Phone : (601) 984-1000

Second Address

  • Raviteja Naga Devalla
  • 2500 N State St
  • Jackson, MS
  • Zip : 39216-4500
  • Phone : (601) 984-1000

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FAQs


Where did Raviteja Naga Devalla attend graduate school?

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Where did Raviteja Naga Devalla do his residency?

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Where did Raviteja Naga Devalla do his fellowship?

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Is Raviteja Naga Devalla board certified?

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What type of doctor is Raviteja Naga Devalla

Vascular Surgeon

In what state does Raviteja Naga Devalla practice in?

Mississippi

Where is Raviteja Naga Devalla ’s practice located?

2500 N State St , Jackson, Mississippi, 39216-4500

What is Raviteja Naga Devalla ’s gender?

Male

Is Raviteja Naga Devalla a sole practitioner?

No

Is Raviteja Naga Devalla accepting new patients?

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What languages does Raviteja Naga Devalla speak?

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Does Raviteja Naga Devalla accept insurance?

Yes, Raviteja Naga Devalla accepts insurance

Does Raviteja Naga Devalla offers telemedicine?

Raviteja Naga Devalla has not indicated if he offers telemedicine

What is Raviteja Naga Devalla ’s professional license number?

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What is Raviteja Naga Devalla ’s NPI number?

1073975298

Does Raviteja Naga Devalla have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2086S0129X Vascular Surgeon 28968 MS

National Provider Identifier

NPI 1073975298
Provider Name Raviteja Naga Devalla
First Address Jackson, MS 39216-4500
Second Address Jackson, MS 39216-4500
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 26/03/2016
Last Update Date 21/07/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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