DR. AVANEESH JAKKOJU M.D NPI 1174962872

NPI Information

NPI: 1174962872
Provider Name: DR. AVANEESH JAKKOJU, M.D
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Organization: THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION

PECOS Registration: Yes

Address:
225 DUNN ST
HOUMA, LA
ZIP 70360
Phone: (985) 876-0300
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DR. Avaneesh Jakkoju, M.D is a cardiovascular disease internal medicine in Houma, LA with 16 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Avaneesh Jakkoju, M.D NPI is 1174962872. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

225 DUNN ST
HOUMA, LA
ZIP 70360-440
Phone: (985) 876-0300
Fax: (985) 876-5529

The NPI 1174962872 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/17/2013 and was last updated on 8/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	302386	LOUISIANA	Yes
2	207RC0000X	Internal Medicine	Cardiovascular Disease	45700	IOWA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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