Gaurav Anand

Individual provider Active NPI Internal Medicine Physician · Jackson, MS

NPI 1497545099 · NPPES record last updated Aug 11, 2025

Key facts

NPI
1497545099
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
T-5901 (MS)
Practice address
2500 N. State Street
Jackson, MS 39216
Phone
(601) 984-1000
NPI assigned
May 8, 2025
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
T-5901MSMDInternal Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X T-5901 MS Yes

Addresses

Primary practice location

2500 N. State Street
Jackson, MS 39216

Mailing address

2500 N. State Street
Jackson, MS 39216

Other providers in Jackson, MS

All providers in Jackson, MS · Internal Medicine Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.