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Individual

MR. PURNACHANDRA RAO YERNENI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1011 AVENUE F, BOGALUSA, LA 70427-4334
(985) 732-9940
(985) 732-9979
Mailing address
1011 AVENUE F, BOGALUSA, LA 70427-4334
(985) 732-9940
(985) 732-9979

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10096R
LA

Other

Enumeration date
11/03/2006
Last updated
05/21/2012
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