Vijaya L. Boppana M.D.

NPI 1710063763 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1710063763
Gender Female
Enumeration Date 10/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
242 WEST SHAMROCK STREET
PINEVILLE LA, 71360, US
Phone (318) 484-6260
Fax
Business Location
6200 TENNYSON OAKS LANE
ALEXANDRIA LA, 71301, US
Phone
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State Louisiana
License Number 12394R
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According to our database, Dr. Vijaya L. Boppana M.D. NPI is 1710063763, taxonomy code is 2084P0800X and license number is 12394R, license state is located at Louisiana. Vijaya L. Boppana M.D. physically located at 242 West Shamrock Street, Pineville LA, 71360. NPI Number Vijaya L. Boppana M.D. has the Individual type.

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1710063763 NPI number is provided on an as is basis without warranty of any kind. 1710063763 is maintained by the National Plan & Provider Enumeration System. The contents of Vijaya L. Boppana M.D. are for informational purposes only.