MEDICARE: ANJANI D. NARRA 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
1	2084P0800X	Psychiatry Physician	AN05559R	LA

General Provider Information

NPI Number	:	1831337070
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANJANI D. NARRA MD LLC

Provider Business Mailing Address
First Line	:	19431 N MUIRFIELD CIR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70810-5986
Country	:	US
Telephone Number	:	225-752-4755
Fax Number	:	225-753-2226

Provider Business Practice Location Address
First Line	:	4428 NORTH BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-3917
Country	:	US
Telephone Number	:	225-802-9898
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	MRS. ANJANI D. NARRA
Credential	:	M.D.
Telephone Number	:	225-752-4755

Provider Enumeration Date	:	01/26/2009
Last Update Date	:	01/26/2009

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