Individual
DR. MANIKANDAN NAGENDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2390 W CONGRESS ST, QUALITY MANAGEMENT DEPT, LAFAYETTE, LA 70506-4205
(337) 261-6323
(337) 261-6334
Mailing address
2390 W CONGRESS ST, QUALITY MANAGEMENT DEPT, LAFAYETTE, LA 70506-4205
(337) 261-6323
(337) 261-6334
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.202135
LA
Other
Enumeration date
05/22/2007
Last updated
09/05/2019
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