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1912989443

NPI Code Detail

MEDICARE: DR. JANARDANA P. KAIMAL MD

MEDICARE: DR. JANARDANA P. KAIMAL 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	207RP1001X	Pulmonary Disease Physician	3828R	LA
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	3828R	LA

Other Identifiers

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

General Provider Information

NPI Number	:	1912989443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANARDANA P. KAIMAL MD

Provider Business Mailing Address
First Line	:	4820 LAKE ST
Second Line	:	SUITE 2
City	:	LAKE CHARLES
State	:	LA
Zip	:	70605-6010
Country	:	US
Telephone Number	:	337-310-7378
Fax Number	:	337-310-7382

Provider Business Practice Location Address
First Line	:	4820 LAKE ST
Second Line	:	SUITE 2
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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	08/06/2008

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Directions to “ DR. JANARDANA P. KAIMAL MD” Practice Location

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