Individual
ANGELA S DUTHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3020 GAUSE BLVD E, SLIDELL, LA 70461-4155
(985) 726-0800
(985) 726-0803
Mailing address
3020 GAUSE BLVD E, SLIDELL, LA 70461-4155
(985) 726-0800
(985) 726-0803
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
015652
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1333956
—
LA
Enumeration date
11/03/2005
Last updated
09/29/2011
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