Organization
AAA CLINICS, AMC
Active
Other names
Multi Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURESH KUMAR DONEPUDI M.D. (PRESIDENT)
(318) 688-5416
Entity
Organization
Contact information
Practice address
8921 MANSFIELD RD, SHREVEPORT, LA 71118-2144
(318) 688-5416
(318) 415-0205
Mailing address
8921 MANSFIELD RD, SHREVEPORT, LA 71118-2144
(318) 688-5416
(318) 415-0205
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
017479
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942120
—
LA
Enumeration date
02/08/2007
Last updated
08/22/2020
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