Individual
DR. ASHWIN SURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5425 BRITTANY DR, SUITE A, BATON ROUGE, LA 70808-9144
(225) 767-0460
(225) 767-3262
Mailing address
5425 BRITTANY DR, SUITE A, BATON ROUGE, LA 70808-9144
(225) 767-0460
(225) 767-3262
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
07322R
LA
2084P0800X
Psychiatry Physician
Primary
07322R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1371726
—
LA
01
—
37338
BLUE CROSS BLUE SHIELD
LA
Enumeration date
07/22/2006
Last updated
06/02/2016
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