Donepudi, Suresh Kumar
Donepudi, Suresh Kumar is an sole proprietor health care provider with primary practice located at 8921 Mansfield Rd , Shreveport LA 71118-2144. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Donepudi, Suresh Kumar can be contacted via phone (318) 688-5416.Contact Information
Primary practice address
8921 Mansfield Rd
Shreveport LA 71118-2144
Phone: (318) 688-5416
Fax: (318) 688-5823
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 017479 | Louisiana |
Profile Details
| NPI number | 1922075035 |
|---|---|
| LBN Legal business name | Donepudi, Suresh Kumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922075035 | NPPES |
| Louisiana | MEDICAID | 1380181 |
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