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General NPI Number Information
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NPI Number | 1598847733
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Entity Type | Individual
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Provider Name | PRASANNA SUGATHAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 501 DR. MICHAEL DEBAKEY DR.
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City | LAKE CHARLES
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State | LA
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Zip | 70601
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Country | US
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Telephone | 337-312-8281
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Fax | 337-497-1173
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Provider Business Mailing Address
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Address Line | 501 DR. MICHAEL DEBAKEY DR. CREDENTIALING
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City | LAKE CHARLES
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State | LA
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Zip | 70601
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Country | US
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Telephone | 337-312-8528
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Fax | 337-312-6708
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD-42253
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 9384
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License Number State | SD
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 28312
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD416983
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD024577
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 328396
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License Number State | LA
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