Individual
DR. JASON AARON HANNEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-4050
(225) 765-4046
Mailing address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-4050
(225) 765-4046
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
025460
LA
208M00000X
Hospitalist Physician
025460
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05103501
—
MS
05
—
1575526
—
LA
01
—
P00330907
RAIL ROAD MEDICARE
—
Enumeration date
07/20/2006
Last updated
03/23/2021
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