Individual
DR. JAYASANKARAN P MUKKASNNAIRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8415 GOODWOOD BLVD, SUITE 100, BATON ROUGE, LA 70806-7851
(225) 765-5633
(225) 765-5634
Mailing address
8415 GOODWOOD BLVD, SUITE 100, BATON ROUGE, LA 70806-7851
(225) 765-5500
(225) 765-5634
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12842R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08636816
—
MS
05
—
1547646
—
LA
Enumeration date
07/28/2005
Last updated
03/26/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us