Individual
DR. ASIF TALUKDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 HENNESSY BLVD STE 507, BATON ROUGE, LA 70808-4366
(225) 767-1156
(225) 767-5980
Mailing address
1459 LANEY WALKER BLVD, AE3042, AUGUSTA, GA 30912-0002
(702) 721-3052
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
326682
LA
208C00000X
Colon & Rectal Surgery Physician
326682
LA
390200000X
Student in an Organized Health Care Education/Training Program
7260
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
326682
STATE LICENSE
LA
Enumeration date
06/27/2014
Last updated
08/04/2021
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