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NPI Code Detail

MEDICARE: JANARDANA P. KAIMAL, MD, LLC

MEDICARE: JANARDANA P. KAIMAL, MD, LLC
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
1207RS0012XSleep Medicine (Internal Medicine) Physician3828RLA

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 : 1740323823
Entity Type Code : Organization
Provider Name (Legal Business Name) : JANARDANA P. KAIMAL, MD, LLC
Provider Business Mailing Address
First Line : PO BOX 4591
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70606-4591
Country : US
Telephone Number : 337-436-7560
Fax Number : 337-433-9861
Provider Business Practice Location Address
First Line : 4820 LAKE ST
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70605-6010
Country : US
Telephone Number : 337-310-7378
Fax Number : 337-310-7382
Authorized Official
Title or Position : OWNER
Name : DR. JANARDANA PARAMESWARA KAIMAL
Credential : MD
Telephone Number : 337-310-7278
Provider Enumeration Date : 02/15/2007
Last Update Date : 11/09/2010

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