Individual
SUDHEERA RACHAMALLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7777 HENNESSY BLVD STE 700, BATON ROUGE, LA 70808-4300
(225) 765-8648
(225) 765-7898
Mailing address
7777 HENNESSY BLVD STE 700, BATON ROUGE, LA 70808-4300
(225) 765-8648
(225) 765-7898
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD200096
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09806288
—
MS
05
—
1629375
—
LA
Enumeration date
09/14/2005
Last updated
01/20/2022
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