Individual
HARSHAVARDHINI KOMMAVARAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 NORTH BOULEVARD, BRG MID CITY MEDICINE CLINIC, SUITE 130, BATON ROUGE, LA 70806
(225) 387-7900
Mailing address
3401 NORTH BOULEVARD, BRG MID CITY MEDICINE CLINIC, SUITE 130, BATON ROUGE, LA 70806
(225) 387-7900
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
08/07/2024
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