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Individual

MS. SRIVENI TANGELLAPELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8595 PICARDY AVE, SUITE 400, BATON ROUGE, LA 70809
(225) 819-1129
(225) 442-5128
Mailing address
8508 SUMMA AVENUE, UNIT P12, BATON ROUGE, LA 70809
(940) 758-3490
(225) 442-5128

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/20/2023
Last updated
09/13/2023
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