Provider Demographics
NPI:1760639686
Name:VETARANS ADMINISTRATION
Entity Type:Organization
Organization Name:VETARANS ADMINISTRATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF UROLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISHNARAO
Authorized Official - Middle Name:
Authorized Official - Last Name:MOPARTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-553-5816
Mailing Address - Street 1:1700 SUNSWEPT LN
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-7445
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:504-553-5859
Practice Address - Street 1:1601 PERDIDO ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-1262
Practice Address - Country:US
Practice Address - Phone:504-553-5816
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes281P00000XHospitalsChronic Disease Hospital
No282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1335851Medicaid