Individual
VASUDEVA V DHULIPALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 N 3RD ST, ALEXANDRIA, LA 71301
(318) 449-8334
(318) 449-8322
Mailing address
104 N 3RD ST, 6701 TENNYSON OAKS LN, ALEXANDRIA, LA 71301
(318) 449-8334
(318) 449-8322
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
08641R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1911143
—
LA
Enumeration date
06/26/2006
Last updated
07/08/2007
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