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Individual

MANJIT K WADHWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
383 OAK TREE DR, LA PLACE, LA 70068-1911
(985) 651-9293
Mailing address
PO BOX 1450, LA PLACE, LA 70069-1450
(985) 651-9293

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
05651R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1321133
LA
05
195199801
TX
Enumeration date
08/05/2006
Last updated
01/16/2015
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