Individual
JAYESH MADRECHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2120 DRIFTWOOD BLVD, KENNER, LA 70065-3574
(504) 443-9500
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
304815
LA
390200000X
Student in an Organized Health Care Education/Training Program
125064703
IL
Other
Enumeration date
06/05/2014
Last updated
09/22/2017
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