Organization
JANNAIAH C. TRIPURANENI MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANNAIAH C TRIPURANENI MD (OWNER)
(225) 715-6144
Entity
Organization
Contact information
Practice address
3136 S SAINT LANDRY AVE, GONZALES, LA 70737-5801
(225) 715-6144
(225) 644-7769
Mailing address
3136 S SAINT LANDRY AVE, GONZALES, LA 70737-5801
(225) 715-6144
(225) 644-7769
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R11566
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679453
—
LA
Enumeration date
07/01/2006
Last updated
08/08/2025
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