| Dr Jagan Dewan Gupta, MD | |
|
1111 Medical Center Blvd, Suite N-108, Marrero, LA 70072-3151 | |
| (504) 349-1461 | |
| (504) 349-1461 |
| Full Name | Dr Jagan Dewan Gupta |
|---|---|
| Gender | Male |
| Speciality | Radiology - Neuroradiology |
| Location | 1111 Medical Center Blvd, Marrero, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134388234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085N0700X | Radiology - Neuroradiology | MD.202042 (Louisiana) | Primary |
| Entity Name | Administrators Of The Tulane Educational Fund |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528014164 PECOS PAC ID: 0446163760 Enrollment ID: O20031201000636 |
| Entity Name | Jefferson Radiology Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366490849 PECOS PAC ID: 0143289363 Enrollment ID: O20041005000144 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jagan Dewan Gupta, MD 2529 Nashville Ave, New Orleans, LA 70115-7045 Ph: (504) 813-3649 | Dr Jagan Dewan Gupta, MD 1111 Medical Center Blvd, Suite N-108, Marrero, LA 70072-3151 Ph: (504) 349-1461 |
Philip G Kogos, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1101 Medical Center Blvd, Radiology Dept, Marrero, LA 70072 Phone: 504-349-1461 Fax: 504-349-1470 | |
Dr. Jay Walter Helgason, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1111 Medical Center Blvd, Marrero, LA 70072 Phone: 504-349-1461 Fax: 504-349-1461 | |
Dr. Dian Hitt Sanders, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1101 Medical Center Blvd, Marrero, LA 70072 Phone: 504-340-1328 Fax: 504-340-9916 | |
Dr. John Mark Vitter, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1101 Medical Center Blvd, Radiology Dept, Marrero, LA 70072 Phone: 504-349-1461 Fax: 504-349-1461 | |
Dr. James Douglass Hanemann, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1111 Medical Center Blvd, Ste. N-108, Marrero, LA 70072 Phone: 504-349-1461 Fax: 504-349-1461 | |
Jeremy B Nguyen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1111 Medical Center Blvd, Suite N-108, Marrero, LA 70072 Phone: 504-349-1461 Fax: 504-349-1470 |