Provider Demographics
NPI:1437556289
Name:JANGA, KARUNASRI (MD)
Entity Type:Individual
Prefix:DR
First Name:KARUNASRI
Middle Name:
Last Name:JANGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2308 E MAIN ST STE G
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-4029
Mailing Address - Country:US
Mailing Address - Phone:337-367-2001
Mailing Address - Fax:337-365-3050
Practice Address - Street 1:2308 E MAIN ST STE G
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-4029
Practice Address - Country:US
Practice Address - Phone:337-367-2001
Practice Address - Fax:337-365-3050
Is Sole Proprietor?:No
Enumeration Date:2014-11-21
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA305708208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
305708OtherLOUISIANA STATE LICENSE