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General NPI Number Information
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NPI Number | 1174256382
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Entity Type | Individual
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Provider Name | SNEHA PUVVADA MD
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Gender | Female
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Dates
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Enumeration Date | 07/05/2022
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 3401 NORTH BLVD STE 130
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City | BATON ROUGE
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State | LA
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Zip | 70806-3743
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Country | US
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Telephone | 225-387-7900
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Fax |
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Provider Business Mailing Address
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Address Line | 8451 PICARDY AVE APT 2311
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City | BATON ROUGE
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State | LA
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Zip | 70809-3777
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Country | US
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Telephone | 225-888-0707
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0102574
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License Number State | MD
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