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Individual

SARAT K DONEPUDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
21420 HIGHWAY 20, VACHERIE, LA 70090-3614
(225) 265-3013
(225) 265-3775
Mailing address
PO BOX 160, 21420 HWY 20W, VACHERIE, LA 70090-0160
(225) 265-3013
(225) 265-3775

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04724R
LA
208D00000X
General Practice Physician
4727R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1197530
LA
01
5K296
OLD MEDICARE
Enumeration date
04/03/2006
Last updated
08/05/2008
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