Individual
DR. NARAYANAN DEEPAK KARAYIL THEKKOOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6550 MAIN STREET, STE. 1000, ZACHARY, LA 70791
(225) 654-1559
(225) 654-6212
Mailing address
PO BOX 4176, HOUMA, LA 70361-4176
(985) 876-0300
(985) 872-0317
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD201962
LA
207RI0011X
Interventional Cardiology Physician
Primary
201962
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1120871
—
LA
Enumeration date
09/09/2007
Last updated
10/09/2015
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