Organization
WEST JEFFERSON ANESTHESIA & PAIN
Active
Organization
WEST JEFFERSON ANESTHESIA & PAIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYACHANDRA R INDURU MD (OWNER)
(504) 723-5313
Entity
Organization
Contact information
Practice address
11 EAGLE POINT DR, NEW ORLEANS, LA 70131-3380
(504) 723-5313
Mailing address
11 EAGLE POINT DR, NEW ORLEANS, LA 70131-3380
(504) 723-5313
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD09619R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1961400
—
LA
Enumeration date
01/15/2008
Last updated
01/21/2008
Update your record
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