# JANNAIAH C. TRIPURANENI MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548299662
- **Authorized official:** JANNAIAH C TRIPURANENI MD (OWNER)
- **Authorized official phone:** (225) 715-6144

## Contact information

- **Practice address:** 3136 S SAINT LANDRY AVE, GONZALES, LA 70737-5801
- **Practice address phone:** (225) 715-6144
- **Practice address fax:** (225) 644-7769
- **Mailing address:** 3136 S SAINT LANDRY AVE, GONZALES, LA 70737-5801
- **Mailing address phone:** (225) 715-6144
- **Mailing address fax:** (225) 644-7769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | R11566 | LA | Yes |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 08/08/2025