| Rama K Kongara Md | |
|
5425 Brittany Dr Ste A Baton Rouge LA 70808-9144 | |
| (225) 767-3372 | |
| (225) 767-3262 |
| Full Name | Rama K Kongara Md |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5425 Brittany Dr, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Rama K Kongara (OWNER) |
| Authorized Official Contact | 2257673372 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rama K Kongara Md 5425 Brittany Dr Ste A Baton Rouge LA 70808-9144 Ph: (225) 767-3372 | Rama K Kongara Md 5425 Brittany Dr Ste A Baton Rouge LA 70808-9144 Ph: (225) 767-3372 |
| NPI Number | 1780646901 |
|---|---|
| Provider Enumeration Date | 04/04/2006 |
| Last Update Date | 07/01/2010 |
| Medicare PECOS PAC ID | 2769462878 |
|---|---|
| Medicare Enrollment ID | O20040721000192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780646901 | NPI | - | NPPES |
| 1441643 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 06039R (Louisiana) | Primary |
| Provider Name | Rama Kongara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881867448 PECOS PAC ID: 5890703912 Enrollment ID: I20110222000644 |
| Provider Name | Lisa Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912336488 PECOS PAC ID: 5597996439 Enrollment ID: I20140318001569 |
| Provider Name | Elizabeth J Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669827705 PECOS PAC ID: 4385935642 Enrollment ID: I20160617000443 |
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