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Organization

VETARANS ADMINISTRATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KRISHNARAO MOPARTY M.D (CHIEF OF UROLOGY)
(504) 553-5816
Entity
Organization

Contact information

Practice address
1601 PERDIDO ST, NEW ORLEANS, LA 70112-1262
(504) 553-5816
Mailing address
1700 SUNSWEPT LN, HARVEY, LA 70058-7445
(504) 553-5859

Taxonomy

Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
282N00000X
General Acute Care Hospital

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1335851
LA
Enumeration date
08/21/2008
Last updated
08/21/2008
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