Boppana, Rama
Boppana, Rama is an individual health care provider with primary practice located at 242 West Shamrock Street , Pineville LA 71360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Forensic Psychiatry, which is considered as his primary health care specialty. Boppana, Rama can be contacted via phone (318) 484-6814.Contact Information
Primary practice address
242 West Shamrock Street
Pineville LA 71360
Phone: (318) 484-6814
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | 12393R | Louisiana |
Profile Details
| NPI number | 1750467718 |
|---|---|
| LBN Legal business name | Boppana, Rama |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1750467718 | NPPES |
| Louisiana | MEDICAID | 1541371 |
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