Vishnu Saivardhan Reddy Palyam, M.D
Student in an Organized Health Care Education/Training Program in Gulfport, MS. Individual provider (NPI-1).
Details
- NPI
- 1972390946
- Entity type
- Individual (NPI-1)
- Name
- Vishnu Saivardhan Reddy Palyam
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2025
- Last updated
- Aug 14, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | T-5936 | MS | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
4500 13th St Memorial Hospital,Gulfport, MS 39501
Phone 228-822-6512 · Fax 228-575-1937
Mailing address
4500 13th St Memorial Hospital,Gulfport, MS 39501
Phone 228-822-6512 · Fax 228-575-1937
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 60 Student in an Organized Health Care Education/Training Program providers in Gulfport · All 2,821 providers in Gulfport
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