Individual
DR. RATNAKAR PERNENKIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1051 GAUSE BLVD, STE 320, SLIDELL, LA 70458-2988
(985) 641-7577
(985) 643-0826
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
104069
MO
207RC0000X
Cardiovascular Disease Physician
12972R
LA
207RC0000X
Cardiovascular Disease Physician
16262
MS
207RI0011X
Interventional Cardiology Physician
Primary
12972R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120579
—
MS
01
—
06005374
RAILROAD MEDICARE
—
05
—
1549738
—
LA
Enumeration date
05/31/2005
Last updated
09/10/2020
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