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Individual
DR. JEEVAN KUMAR YENUGANTI
Active
Individual
DR. JEEVAN KUMAR YENUGANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS, MSPH
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6421
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034897
CDS
LA
05
—
1864218
—
LA
Enumeration date
09/26/2007
Last updated
05/07/2026
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