Provider Demographics
NPI:1700033511
Name:GULATI, NEERJA (MD)
Entity Type:Individual
Prefix:
First Name:NEERJA
Middle Name:
Last Name:GULATI
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 1:101 OFFICE PARK DR
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:LA
Mailing Address - Zip Code:71055-3088
Mailing Address - Country:US
Mailing Address - Phone:318-371-4041
Mailing Address - Fax:318-371-4043
Practice Address - Street 1:101 OFFICE PARK DR
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:LA
Practice Address - Zip Code:71055-3088
Practice Address - Country:US
Practice Address - Phone:318-371-4041
Practice Address - Fax:318-371-4043
Is Sole Proprietor?:No
Enumeration Date:2008-08-22
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA307610207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA307610OtherLA STATE BOARD OF MEDICAL EXAMINERS