Individual
SHASHITHA GAVINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8401 PICARDY AVE, BATON ROUGE, LA 70809-3685
(225) 308-0247
(225) 308-0249
Mailing address
8401 PICARDY AVE, BATON ROUGE, LA 70809-3685
(225) 308-0247
(225) 308-0249
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
311041
LA
Other
Enumeration date
03/23/2017
Last updated
08/15/2023
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