Konduru, Sai

Konduru, Sai is an individual health care provider with primary practice located at 2727 Hearne Ave Ste 301 , Shreveport LA 71103-3918. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Konduru, Sai can be contacted via phone (318) 631-6400.

Contact Information

Primary practice address
2727 Hearne Ave Ste 301 Shreveport LA 71103-3918
Fax: (318) 631-0300
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD201937 Louisiana

Profile Details

NPI number 1972714889
LBN Legal business name Konduru, Sai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Jul 21st, 2022 - about 2 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 1972714889 NPPES
Louisiana MEDICAID 1066583

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