Individual
DR. RAMA BOPPANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
242 WEST SHAMROCK STREET, PINEVILLE, LA 71360
(318) 484-6814
Mailing address
6200 TENNYSON OAKS LN, ALEXANDRIA, LA 71301-2758
(318) 484-6814
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
12393R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1541371
—
LA
Enumeration date
10/31/2006
Last updated
07/08/2007
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