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1972709277
SANDEEP MELLACHERUVU
JACKSON, MS
NPI
1972709277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MS 624-L)
Enumeration Date
2007-06-23
Last Update Date
2007-07-08
Business Address
-- SANDEEP MELLACHERUVU M.D.
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5826
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Mailing Address
-- SANDEEP MELLACHERUVU M.D.
705 NAYLOR LN
RIDGELAND, MS 39157-1288
Phone number: 601-984-5826
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