Individual
MR. BUDI N SUGENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1305 N STATE ST, ABBEVILLE, LA 70510-2825
(337) 422-6240
(337) 422-6241
Mailing address
1305 N STATE ST, ABBEVILLE, LA 70510-2825
(337) 422-6240
(337) 422-6241
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD200292
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1330531
—
LA
01
—
200292
MD
LA
01
—
33165
LA BOARD OF PHARMACY
LA
Enumeration date
03/13/2007
Last updated
03/07/2023
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