Individual
DR. SAI SUDHAKAR CHENNAMSETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 YOUNGSVILLE HWY, SUITE 200B, LAFAYETTE, LA 70508-5173
(337) 330-0031
Mailing address
401 YOUNGSVILLE HWY, SUITE 100, LAFAYETTE, LA 70508-5173
(337) 330-0031
(337) 330-0059
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207907
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2301942
—
LA
Enumeration date
06/18/2012
Last updated
09/14/2016
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