Individual
RAJIV DODDAMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7000
Mailing address
1541 KINGS HWY, ATTN: PAYOR CREDENTIALING, SHREVEPORT, LA 71103-4228
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
310930
LA
208M00000X
Hospitalist Physician
Primary
310930
LA
Other
Enumeration date
04/07/2015
Last updated
01/09/2026
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