Individual
VIJAYA JAYAGOPAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1407 AVENUE F, BOGALUSA, LA 70427-4340
(985) 732-3263
Mailing address
19426 PINEWOOD DRIVE, BOGALUSA, LA 70427
(985) 735-7305
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
05368R
LA
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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