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Individual

DR. KUMARI L MOTURU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4983 BLUEBONNET BLVD, SUITE A, BATON ROUGE, LA 70809-3086
(225) 769-1103
(225) 761-5155
Mailing address
4983 BLUEBONNET BLVD, SUITE A, BATON ROUGE, LA 70809-3086
(225) 769-1103
(225) 761-5155

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
07562R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1972088
LA
Enumeration date
02/14/2007
Last updated
03/09/2011
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