Individual
JANNAIAH C TRIPURANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-4050
(225) 765-4046
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-4050
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.1566R
LA
207R00000X
Internal Medicine Physician
11566R
LA
208M00000X
Hospitalist Physician
Primary
11566R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679453
—
LA
Enumeration date
10/24/2005
Last updated
03/02/2023
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