MEDICARE: LOUISANA PHYSICAL MEDICINE AND REHAB ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NX0800X	Orthopedic Chiropractor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	08486	OTHER		BLUE CROSS

General Provider Information

NPI Number	:	1033280722
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOUISANA PHYSICAL MEDICINE AND REHAB ASSOCIATES

Provider Business Mailing Address
First Line	:	3301 ST CHARLES AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115
Country	:	US
Telephone Number	:	504-899-3031
Fax Number	:	504-899-3052

Provider Business Practice Location Address
First Line	:	3301 ST CHARLES AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115
Country	:	US
Telephone Number	:	504-899-3031
Fax Number	:	504-899-3052

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DROPADI L KEWALRAMANI
Credential	:	MD
Telephone Number	:	504-899-3031

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	08/22/2020

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