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Contact Information

RAMA BOPPANA
242 WEST SHAMROCK STREET
PINEVILLE, LA71360
 Phone: 318-484-6814
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Forensic Psychiatry

2084F0202X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for RAMA BOPPANA · (Male)

NPI Number 1750467718
Status Active
Credentials
Entity Individual
Enumeration date 10/31/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 12393R
  • LA Medicaid 1541371
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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