Individual
DR. PAVAN NARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 BELLE CHASSE HIGHWAY, GRETNA, LA 70056-7127
(504) 391-5177
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
MD.200237
LA
2085R0202X
Diagnostic Radiology Physician
MD.200237
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08474066
—
MS
05
—
2164406
—
LA
Enumeration date
05/13/2008
Last updated
12/27/2011
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