Organization
SOUTHCARE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BUDI SUGENG MD (MD)
(337) 422-6240
Entity
Organization
Contact information
Practice address
110 CURRAN LN, LAFAYETTE, LA 70506
(337) 706-7700
(337) 706-7710
Mailing address
110 CURRAN LN, LAFAYETTE, LA 70506
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD200292
LA
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
AP07807
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19D2091426
CLIA WAIVER
LA
05
—
2409930
—
LA
Enumeration date
12/30/2015
Last updated
10/05/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us