Boppana, Vijaya L.
Boppana, Vijaya L. is an individual health care provider with primary practice located at 242 West Shamrock Street , Pineville LA 71360. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Boppana, Vijaya L. can be contacted via phone (318) 484-6260.Contact Information
Primary practice address
242 West Shamrock Street
Pineville LA 71360
Phone: (318) 484-6260
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 12394R | Louisiana |
Profile Details
NPI number | 1710063763 |
---|---|
LBN Legal business name | Boppana, Vijaya L. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 31st, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1710063763 | NPPES |
Louisiana | MEDICAID | 1538809 |
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