Individual
JAI P MUNJAMPALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1811 E BERT KOUNS INDUSTRIAL LOOP, SUITE 300, SHREVEPORT, LA 71105-5740
(318) 212-3636
(318) 212-3649
Mailing address
1202 LOUISIANA AVE, SHREVEPORT, LA 71101-3910
(318) 212-8951
(318) 212-6752
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
304625
LA
Other
Enumeration date
04/09/2012
Last updated
11/25/2019
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