Organization
NORTHLAKE CARDIOLOGY AND WELLCARE CENTER
Active
Organization
NORTHLAKE CARDIOLOGY AND WELLCARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRASHANTHI ATLURI MD (MEDICAL DOCTOR)
(504) 451-5934
Entity
Organization
Contact information
Practice address
804 HEAVENS DR, MANDEVILLE, LA 70471-2890
(985) 807-1133
Mailing address
804 HEAVENS DR, MANDEVILLE, LA 70471-2890
(985) 807-1133
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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