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SRINIVASA SANJAY SURYA GORLA M.D
NPI 1679417836
Student in an Organized Health Care Education/Training Program in Jackson, MS

Active since April 17, 2026
2500 N STATE STREET, JACKSON, MS 39216(601) 984-1000 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Srinivasa Sanjay Surya Gorla M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SRINIVASA SANJAY SURYA GORLA M.D (NPI 1679417836) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1679417836
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSRINIVASA SANJAY SURYA GORLACredential: M.D
Location Address2500 N STATE STREETJackson, MS 39216
Mailing Address2500 N State StreetJackson, MS 39216
Phone(601) 984-1000
Sole ProprietorNo
Enumeration DateApril 17, 2026
✔ NPI 1679417836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
2500 N STATE STREET, Jackson, MS 39216
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NAYAN AGARWAL M.D.
Radiology (Radiation Oncology)
2500 N STATE STREET
JACKSON, MS 39216
Hinds County (601) 984-1000
DR. BRUCE N SCHLAKMAN MD
Radiology (Neuroradiology)
2500 N STATE STREET
JACKSON, MS 39216
Hinds County (601) 984-2538
DR. JOHN GORHAM WINSCOTT JR. M.D.
Internal Medicine (Interventional Cardiology)
2500 N STATE STREET, DEPT OF MEDICINE DIVISION OF CARDIOLOGY
JACKSON, MS 39216
Hinds County (601) 984-5678
EHSAN-ULLAH KHAN DURRANI M.D.
Hospitalist
2500 N STATE STREET
JACKSON, MS 39216
Hinds County (601) 815-2869
DR. JOHN DAVID WOFFORD III MD
Emergency Medicine
2500 N STATE STREET
JACKSON, MS 39216
Hinds County (601) 984-5571
DR. RICHARD ELLIOTT WELLS M.D.
Internal Medicine (Pulmonary Disease)
2500 N STATE STREET
JACKSON, MS 39216
Hinds County (601) 984-5650
POONAM KUMARI M.D.
Student in an Organized Health Care Education/Training Program
2500 N STATE STREET
JACKSON, MS 39216
Hinds County (601) 984-5426
MICHAL SENITKO M.D.
Internal Medicine (Pulmonary Disease)
2500 N STATE STREET
JACKSON, MS 39216
Hinds County (601) 984-5650

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Srinivasa Sanjay Surya Gorla's NPI number?

The NPI number for Srinivasa Sanjay Surya Gorla is 1679417836. It was assigned to this individual provider in the NPPES registry on April 17, 2026.

Where is Srinivasa Sanjay Surya Gorla located?

Srinivasa Sanjay Surya Gorla practices at 2500 N State Street, Jackson, MS 39216. The listed phone number is (601) 984-1000.

What is Srinivasa Sanjay Surya Gorla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Srinivasa Sanjay Surya Gorla was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.