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Individual

DR. BABU JASTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6550 MAIN ST, STE. 1000, ZACHARY, LA 70791-4092
(225) 654-1559
(225) 654-6212
Mailing address
PO BOX 4176, HOUMA, LA 70361-4176
(985) 872-5864
(985) 872-0617

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD429922
PA
207RI0011X
Interventional Cardiology Physician
Primary
304196
LA
207RI0011X
Interventional Cardiology Physician
MD429922
PA
207RI0011X
Interventional Cardiology Physician
PENDING
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0113638
NJ
05
101730640
PA
05
2434616
LA
Enumeration date
06/24/2006
Last updated
02/27/2017
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