| Doctor Name: | DR. PASAM SUDERSHAN RAO |
| NPI Number: | 1023152063 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 12265R |
| Business Practice Address: | 1107 Audubon Ave A Thibodaux, LA - 703014940 |
| Business Phone Number: | 9854477004 |
| Business Fax Number: | 9854477003 |
| Mailing Address: | 103 Allendale Dr, THIBODAUX |
| State: | LA |
| Postal Code: | 703018031 |
| Phone Number: | 9854477004 |
| Fax Number: | 9854477003 |
| NPI Enumeration Date: | 02/15/2007 |
| NPI Last Update Date: | 09/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RG0100X |
| License Number: | 12265R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Gastroenterology |
| Taxonomy Definition: | An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |