Individual
VENUGOPAL VATSAVAYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 NORTH BLVD STE 100, BATON ROUGE, LA 70806-3743
(225) 381-2621
(225) 387-7829
Mailing address
7373 PERKINS RD, BATON ROUGE, LA 70808-4373
(225) 246-9790
(225) 246-9160
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35936
IA
2084P0800X
Psychiatry Physician
Primary
MD.203338
LA
2084P0802X
Addiction Psychiatry Physician
MD.203338
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1815357
—
LA
01
—
4M443CT49
MEDICARE PTAN
LA
Enumeration date
06/01/2006
Last updated
01/03/2022
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