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General NPI Number Information
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NPI Number | 1417134735
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Entity Type | Organization
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Legal Business Name | SARAT K DONEPUDI MD APMC
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 08/15/2008
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Provider Practice Location Address
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Address Line | 21420 HIGHWAY 20
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City | VACHERIE
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State | LA
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Zip | 70090-3614
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Country | US
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Telephone | 225-265-3013
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Fax | 225-265-3775
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Provider Business Mailing Address
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Address Line | 21420 HIGHWAY 20 WEST
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City | VACHERIE
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State | LA
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Zip | 70090-3614
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Country | US
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Telephone | 225-265-3013
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Fax | 225-265-3775
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SARAT K DONEPUDI
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Credential | M.D.
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Telephone | 225-265-3013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 04727R
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License Number State | LA
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