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Individual

DR. VASUDEV H TATI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3600 FLORIDA BLVD, BATON ROUGE, LA 70806-3842
(225) 387-7070
Mailing address
7373 PERKINS RD, BATON ROUGE, LA 70808-4326
(225) 246-9790

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
203202
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1669660650
NPI
LA
05
2112449
LA
Enumeration date
10/04/2007
Last updated
08/07/2019
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