Individual
VENKAT R BANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 FLORIDA BLVD, BATON ROUGE, LA 70806
(225) 387-7070
(225) 387-7700
Mailing address
PO BOX 732094, DEPT 235, DALLAS, TX 75373-2094
(225) 387-7916
(225) 372-3717
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11275R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083690804
NPI
LA
05
—
1661856
—
LA
01
—
P00294988
RAIL ROAD MEDICARE
LA
Enumeration date
12/22/2005
Last updated
04/27/2016
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