Individual
DR. SUDHANVA UPENDRA WADGAONKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3715 PRYTANIA ST, SUITE 400, NEW ORLEANS, LA 70115-3768
(504) 897-8276
(504) 897-8336
Mailing address
3600 PRYTANIA ST, SUITE 35, NEW ORLEANS, LA 70115-3678
(504) 897-7197
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
05298R
LA
207RI0011X
Interventional Cardiology Physician
05298R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1337315
—
LA
Enumeration date
07/19/2005
Last updated
03/08/2019
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