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Individual

GOPINATH KONGARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5425 BRITTANY DR, SUITE A, BATON ROUGE, LA 70808-9144
(225) 767-3372
(225) 767-3262
Mailing address
5425 BRITTANY DR, SUITE A, BATON ROUGE, LA 70808-9144
(225) 767-3372
(225) 767-3262

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
200639
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1529753
LA
Enumeration date
06/11/2006
Last updated
04/04/2008
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