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Harikrishna Bandla, MBBS

Internal Medicine in Monroe, LA. Individual provider (NPI-1).

NPI number1104336460
StatusActive
Last updated in NPPESMar 7, 2023

Details

NPI
1104336460
Entity type
Individual (NPI-1)
Name
Harikrishna Bandla
Credential
MBBS
Sex
Male
Sole proprietor
No
Enumeration date
Oct 1, 2017
Certification date
Jan 7, 2021
Last updated
Mar 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine324405LAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

309 Jackson St
Monroe, LA 71201-7407

Phone 318-966-4541 · Fax 318-966-4543

Mailing address

309 Jackson St
Monroe, LA 71201-7407

Phone 318-966-4541 · Fax 318-966-4543

Other practice locations

254 Easton Ave
New Brunswick, NJ 08901-1766

Phone 732-745-8600

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