Individual
DR. SREELATHA R. PULAKHANDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
152 GATEWAY DR, BILOXI, MS 39531-4409
(228) 388-0600
Mailing address
2829 4TH AVENUE, LAKE CHARLES, LA 70601
(337) 477-7091
(337) 474-4552
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
29848
MS
2084P0804X
Child & Adolescent Psychiatry Physician
201314
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1183814
—
LA
Enumeration date
06/27/2008
Last updated
03/12/2025
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