Individual
SHOBHA RANI VOOTUKURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5247 DIDESSE DR, BATON ROUGE, LA 70808-9153
(225) 374-0082
(225) 765-9150
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0011
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
206944
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04502371
—
MS
05
—
2371088
—
LA
Enumeration date
10/28/2009
Last updated
05/17/2021
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