MEDICARE: DR. KARUNASRI JANGA MD

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	208000000X	Pediatrics Physician	305708	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	305708	OTHER		LOUISIANA STATE LICENSE

General Provider Information

NPI Number	:	1437556289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARUNASRI JANGA MD

Provider Business Mailing Address
First Line	:	2308 E MAIN ST STE G
Second Line	:
City	:	NEW IBERIA
State	:	LA
Zip	:	70560-4029
Country	:	US
Telephone Number	:	337-367-2001
Fax Number	:	337-365-3050

Provider Business Practice Location Address
First Line	:	2308 E MAIN ST STE G
Second Line	:
City	:	NEW IBERIA
State	:	LA
Zip	:	70560-4029
Country	:	US
Telephone Number	:	337-367-2001
Fax Number	:	337-365-3050

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2014
Last Update Date	:	02/04/2019

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