Dr Tarun Jolly, MD | |
231 W Esplanade Ave, Suite B, Kenner, LA 70065-2459 | |
(504) 754-2334 | |
(504) 324-2078 |
Full Name | Dr Tarun Jolly |
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Gender | Male |
Speciality | Pain Medicine - Interventional Pain Medicine |
Location | 231 W Esplanade Ave, Kenner, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275550071 | NPI | - | NPPES |
04658549 | Medicaid | MS | |
1047104 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD.025631 (Louisiana) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 025631 (Louisiana) | Primary |
Entity Name | Louisiana Pain Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871823740 PECOS PAC ID: 8820124217 Enrollment ID: O20100324000849 |
Mailing Address | Practice Location Address |
---|---|
Dr Tarun Jolly, MD 4520 Wichers Dr, Suite 205, Marrero, LA 70072-3135 Ph: (504) 754-2334 | Dr Tarun Jolly, MD 231 W Esplanade Ave, Suite B, Kenner, LA 70065-2459 Ph: (504) 754-2334 |
Dr. Suneil Jolly, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 231 W Esplanade Ave, Suite B, Kenner, LA 70065 Phone: 504-754-2334 Fax: 504-324-2078 | |
Dr. Kelly Lanier Paulk, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 W Esplanade Ave, Kenner, LA 70065 Phone: 504-443-9500 |