Doctor Name: | SARAT K DONEPUDI |
NPI Number: | 1962464297 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 4727R |
Business Practice Address: | 21420 Highway 20 Vacherie, LA - 700903614 |
Business Phone Number: | 2252653013 |
Business Fax Number: | 2252653775 |
Mailing Address: | Po Box 160, 21420 Hwy 20w VACHERIE |
State: | LA |
Postal Code: | 700900160 |
Phone Number: | 2252653013 |
Fax Number: | 2252653775 |
NPI Enumeration Date: | 04/03/2006 |
NPI Last Update Date: | 08/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4727R |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |