Individual
DR. JAGAN DEWAN GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 MEDICAL CENTER BLVD, SUITE N-108, MARRERO, LA 70072-3151
(504) 349-1461
(504) 349-1461
Mailing address
2529 NASHVILLE AVE, NEW ORLEANS, LA 70115-7045
(504) 813-3649
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
MD.202042
LA
Other
Enumeration date
06/03/2008
Last updated
12/17/2018
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