Individual
DR. RONNIE VINCENT TARAVELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7809 JEFFERSON HWY STE D2, BATON ROUGE, LA 70809-1200
(225) 767-4668
(225) 360-3900
Mailing address
PO BOX 14207, BATON ROUGE, LA 70898-4207
(225) 767-4668
(225) 765-3430
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
MD.016298
LA
2084P0800X
Psychiatry Physician
Primary
MD.016298
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1934755
—
LA
Enumeration date
03/10/2006
Last updated
01/20/2022
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