Individual
DR. JEEVAN KUMAR YENUGANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS, MSPH
Contact information
Practice address
1631 ELYSIAN FIELDS AVE, NEW ORLEANS, LA 70117-8208
(504) 821-2601
(888) 736-9806
Mailing address
2357 ORMOND BLVD, DESTREHAN, LA 70047-2103
(504) 638-8466
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6421
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034897
CDS
LA
05
—
1864218
—
LA
Enumeration date
09/26/2007
Last updated
05/07/2026
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