NISHANT KUMAR ROUT

PONCHATOULA, LA
NPI1063101244
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: LA  342892)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-05-03
Last Update Date2026-06-17
Business Address
Dr. NISHANT KUMAR ROUT D.P.M.
165 W OAK ST
PONCHATOULA, LA 70454-3328
Phone number: 985-986-7900
Mailing Address
Dr. NISHANT KUMAR ROUT D.P.M.
PO BOX 2036
PONCHATOULA, LA 70454-2036
Phone number: 985-386-7900