Individual
DR. KUMAR KISHORE AMARANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2375 GAUSE BLVD E, SLIDELL, LA 70461-4142
(985) 645-9000
(985) 645-0359
Mailing address
2375 GAUSE BLVD E, SLIDELL, LA 70461-4142
(985) 645-9000
(985) 645-0359
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
6512R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346365
—
LA
01
—
F8683
BCBS
LA
Enumeration date
08/21/2006
Last updated
09/22/2010
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