Individual
DR. JAYAGOPAL APPURAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
433 PLAZA ST STE 3A, BOGALUSA, LA 70427-3729
(985) 730-7030
(985) 730-7032
Mailing address
P O BOX 919313, LAFAYETTE, LA 70503
(855) 707-1542
(337) 237-5102
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD.05072R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1309338
—
LA
Enumeration date
09/20/2006
Last updated
01/04/2021
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