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NPI Code Detail

MEDICARE: RANESE ECHELL JEFFERY MD

MEDICARE: RANESE ECHELL JEFFERY 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
1207R00000XInternal Medicine PhysicianMD479168PA
2208M00000XHospitalist Physician335280LA

General Provider Information

NPI Number : 1700440997
Entity Type Code : Individual
Provider Name (Legal Business Name) : RANESE ECHELL JEFFERY MD
Provider Business Mailing Address
First Line : 602 N ACADIA RD
Second Line :
City : THIBODAUX
State : LA
Zip : 70301-4823
Country : US
Telephone Number : 985-447-5500
Fax Number :
Provider Business Practice Location Address
First Line : 602 N ACADIA RD
Second Line :
City : THIBODAUX
State : LA
Zip : 70301-4823
Country : US
Telephone Number : 985-447-5500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2019
Last Update Date : 03/13/2026

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