Healthcare Provider Details

I. General information

NPI: 1427070937
Provider Name (Legal Business Name): RAMCHARAN THIAGARAJAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W ESPLANADE AVE STE 200
KENNER LA
70065-2489
US

IV. Provider business mailing address

1542 TULANE AVE
NEW ORLEANS LA
70112-2865
US

V. Phone/Fax

Practice location:
  • Phone: 504-464-8701
  • Fax: 504-464-8525
Mailing address:
  • Phone: 504-568-4752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD.14568R
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: