Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 328771 | LA |
NPI | 1033568357 |
---|---|
Provider Name | Dr. Siddhartha Darshan Bajracharya |
First Address | New Orleans, LA 70112-2865 |
Second Address | New Orleans, LA 70112-2865 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2016 |
Last Update Date | 29/11/2021 |