Provider Demographics
NPI:1508653809
Name:YARLAGADDA, SWATHI (MD)
Entity type:Individual
Prefix:
First Name:SWATHI
Middle Name:
Last Name:YARLAGADDA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:SWATHI
Other - Middle Name:
Other - Last Name:Y
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:959 LAKE HARBOUR DR
Mailing Address - Street 2:APT 903
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-1073
Mailing Address - Country:US
Mailing Address - Phone:601-966-7126
Mailing Address - Fax:
Practice Address - Street 1:2500 N. STATE ST
Practice Address - Street 2:PATHOLOGY DEPARTMENT
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4505
Practice Address - Country:US
Practice Address - Phone:601-984-1530
Practice Address - Fax:601-984-1531
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program