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Individual

MR. PAUL ANANDA PATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
12589 AIRLINE HWY, DESTREHAN, LA 70047-2501
(985) 764-1158
Mailing address
1611 LAKE AVE, METAIRIE, LA 70005-1413
(504) 421-3718

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
221847
LA

Other

Enumeration date
08/14/2021
Last updated
11/08/2021
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