Organization
PURNACHANDRA R YERNENI MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PURNACHANDRA R YERNENI M.D. (OWNER/PRESIDENT)
(985) 732-9930
Entity
Organization
Contact information
Practice address
1011 AVENUE F, BOGALUSA, LA 70427-4334
(985) 732-9930
(985) 732-9884
Mailing address
1011 AVENUE F, BOGALUSA, LA 70427-4334
(985) 732-9930
(985) 732-9884
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
10096R
LA
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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