Organization
MANJIT K WADHWA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJAY K WADHWA (OFFICE MANAGER)
(985) 651-9293
Entity
Organization
Contact information
Practice address
383 OAK TREE DRIVE, LAPLACE, LA 70068
(985) 651-9293
(985) 651-9292
Mailing address
383 OAK TREE DR, LA PLACE, LA 70068-1911
(985) 651-9293
(985) 651-9292
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD05651R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1321133
—
LA
Enumeration date
07/19/2013
Last updated
07/19/2013
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