Individual
DR. MANJULA KOTHAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3149 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-7209
(337) 706-3415
(337) 706-3460
Mailing address
3149 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-7209
(337) 706-3415
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10034R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1977322
—
LA
Enumeration date
09/11/2006
Last updated
08/22/2024
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