Individual
PRANEET KUMAR SRISAILAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
(337) 470-2605
(337) 470-4595
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(337) 470-2605
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
333592
LA
207R00000X
Internal Medicine Physician
CLP04777
RI
208M00000X
Hospitalist Physician
Primary
333592
LA
Other
Enumeration date
07/04/2019
Last updated
05/13/2026
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