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NPI Code Detail

MEDICARE: SARAT K DONEPUDI MD

MEDICARE: SARAT K DONEPUDI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician04724RLA
2208D00000XGeneral Practice Physician4727RLA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
25K296OTHEROLD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962464297
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAT K DONEPUDI MD
Provider Business Mailing Address
First Line : PO BOX 160
Second Line : 21420 HWY 20W
City : VACHERIE
State : LA
Zip : 70090-0160
Country : US
Telephone Number : 225-265-3013
Fax Number : 225-265-3775
Provider Business Practice Location Address
First Line : 21420 HIGHWAY 20
Second Line :
City : VACHERIE
State : LA
Zip : 70090-3614
Country : US
Telephone Number : 225-265-3013
Fax Number : 225-265-3775
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2006
Last Update Date : 08/05/2008

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Directions to “ SARAT K DONEPUDI MD” Practice Location

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