Individual
SUNDARARAMA RAJU VATSAVAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 FLORIDA BLVD, BATON ROUGE, LA 70806
(225) 387-7070
(225) 387-7700
Mailing address
PO BOX 732094, DALLAS, TX 75373-2094
(877) 744-1141
(225) 372-3717
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13175R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477539294
NPI
LA
05
—
1559300
—
LA
01
—
P00305911
RAILROAD
LA
Enumeration date
12/22/2005
Last updated
07/21/2022
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