Organization
SARAT K DONEPUDI MD APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAT K DONEPUDI M.D. (PRESIDENT)
(225) 265-3013
Entity
Organization
Contact information
Practice address
21420 HIGHWAY 20, VACHERIE, LA 70090-3614
(225) 265-3013
(225) 265-3775
Mailing address
21420 HIGHWAY 20 WEST, VACHERIE, LA 70090-3614
(225) 265-3013
(225) 265-3775
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
04727R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1036692
MEDICAID GROUP
—
05
—
1197530
—
LA
Enumeration date
01/29/2008
Last updated
08/15/2008
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