Individual
KETAKI MUKHOPADHYAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4740 S I 10 SERVICE RD W STE 200, METAIRIE, LA 70001-1244
(504) 988-5458
(504) 988-6808
Mailing address
4740 S I 10 SERVICE RD W STE 200, METAIRIE, LA 70001-1244
(504) 988-5458
(504) 988-6808
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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