Individual
VELUMMYLUM PRABAHARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Mailing address
PO BOX 405827, ATLANTA, GA 30384-5827
(901) 227-4068
(901) 227-4051
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
18661
MS
208M00000X
Hospitalist Physician
18661
MS
208M00000X
Hospitalist Physician
Primary
MD.200740
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1565270
—
LA
Enumeration date
05/18/2006
Last updated
12/17/2021
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