Beedupalli, Jagan
Beedupalli, Jagan is an individual health care provider with primary practice located at 2727 Hearne Ave Suite 301, Shreveport LA 71103-3917. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Beedupalli, Jagan can be contacted via phone (318) 631-6400.Contact Information
Primary practice address
2727 Hearne Ave Suite 301
Shreveport LA 71103-3917
Phone: (318) 631-6400
Fax: (318) 631-0300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 202094 | Louisiana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD.202094 | Louisiana |
Profile Details
| NPI number | 1497956601 |
|---|---|
| LBN Legal business name | Beedupalli, Jagan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2007 |
| Last updated | Jun 17th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497956601 | NPPES |
| Louisiana | Other | 298405YH54 | MEDICARE PTAN |
| Louisiana | MEDICAID | 1092771 | MEDICARE PTAN |
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