Individual
JAMES PHILLIP GAHARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 OPELOUSAS ST, LAKE CHARLES, LA 70601-2641
(337) 769-9451
(337) 769-9460
Mailing address
2000 OPELOUSAS ST, LAKE CHARLES, LA 70601-2641
(337) 769-9451
(337) 769-9460
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.011115
LA
207RH0003X
Hematology & Oncology Physician
L011115
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1304859
—
LA
Enumeration date
11/05/2006
Last updated
11/12/2024
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