Individual
SUDHA MARDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
843 MILLING AVE, LULING, LA 70070-4442
(985) 785-5800
(985) 785-5811
Mailing address
2900 INDIANA AVE, KENNER, LA 70065-4605
(504) 575-3712
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
026251
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1576018
—
LA
Enumeration date
08/26/2005
Last updated
01/23/2023
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