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:
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Health care specialties

SpecialtyCodeLicense #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 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922075035 NPPES
Louisiana MEDICAID 1380181

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