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NPI Code Detail

MEDICARE: DR. RAMPRASAD KANDAVAR MD

MEDICARE: DR. RAMPRASAD KANDAVAR 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
1207RN0300XNephrology PhysicianMD.201168LA
2207R00000XInternal Medicine Physician201168LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669558920
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAMPRASAD KANDAVAR MD
Provider Business Mailing Address
First Line : 711 WOOD ST STE A
Second Line :
City : MONROE
State : LA
Zip : 71201-7564
Country : US
Telephone Number : 504-988-7518
Fax Number : 504-988-7144
Provider Business Practice Location Address
First Line : 1415 TULANE AVENUE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70112
Country : US
Telephone Number : 504-988-2300
Fax Number : 504-988-7144
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2006
Last Update Date : 10/29/2019

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