Pradeep Kumar Vaitla, MD is a nephrology internal medicine in Jackson, MS with 17 years of experience. The provider is 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. Pradeep Kumar Vaitla, MD NPI is 1255645446. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2500 NORTH STATE STREET
JACKSON, MS
ZIP 39216-500
Phone: (601) 984-5065
Fax: (601) 984-2962
The NPI 1255645446 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/30/2010 and was last updated on 7/2/2019.