Provider Demographics
NPI:1396923611
Name:KEWALRAMANI, DROPADI LAXMAN (MD)
Entity type:Individual
Prefix:DR
First Name:DROPADI
Middle Name:LAXMAN
Last Name:KEWALRAMANI
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 1:3301 SAINT CHARLES AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-4533
Mailing Address - Country:US
Mailing Address - Phone:504-899-3031
Mailing Address - Fax:504-899-3052
Practice Address - Street 1:3301 SAINT CHARLES AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-4533
Practice Address - Country:US
Practice Address - Phone:504-899-3031
Practice Address - Fax:504-899-3052
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-08
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5335R208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1305324Medicaid
LAB64189Medicare UPIN
LA1305324Medicaid