Individual
DR. SURESH KUMAR DONEPUDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8921 MANSFIELD RD, SHREVEPORT, LA 71118-2144
(318) 688-5416
(318) 688-5823
Mailing address
8921 MANSFIELD RD, SHREVEPORT, LA 71118-2144
(318) 688-5416
(318) 688-5823
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
017479
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1380181
—
LA
Enumeration date
03/07/2006
Last updated
07/08/2007
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