Organization
MONPSYCH CARE PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISHNA K KAMBHAMPATI M.D. (PRESIDENT)
(318) 397-8251
Entity
Organization
Contact information
Practice address
110 ELSINORE DR, WEST MONROE, LA 71292-0170
(318) 397-8251
(318) 397-8251
Mailing address
110 ELSINORE DR, WEST MONROE, LA 71292-0170
(318) 397-8251
(318) 397-8251
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD.14626R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134180
—
LA
Enumeration date
03/23/2007
Last updated
08/22/2020
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