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Organization

YERASI PEDIATRIC AND FAMILY GROUP OF ACADIANA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SRINIVASA YERASI MD (PEDIATRICIAN)
(270) 246-0568
Entity
Organization

Contact information

Practice address
555 LAKES BLVD, BREAUX BRIDGE, LA 70517-3240
(270) 246-0568
Mailing address
107 MARBLE CREEK CV, LAFAYETTE, LA 70508-1710
(270) 246-0568

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
03/10/2022
Last updated
03/10/2022
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