Pillarisetti, Sudha G
Pillarisetti, Sudha G is an individual health care provider with primary practice located at 1990 Industrial Blvd , Houma LA 70363-7055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Pillarisetti, Sudha G can be contacted via phone (985) 868-9300.Contact Information
Primary practice address
1990 Industrial Blvd
Houma LA 70363-7055
Phone: (985) 868-9300
Fax: (985) 851-0053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 07882R | Louisiana |
Profile Details
| NPI number | 1639150691 |
|---|---|
| LBN Legal business name | Pillarisetti, Sudha G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Sep 8th, 2014 - about 10 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 | 1639150691 | NPPES |
| Louisiana | Other | 721134010 | TRICARE |
| Louisiana | Other | 1069922 | TRICARE |
| Louisiana | Other | 220022360 | TRICARE |
| Louisiana | Other | 11-00106 | TRICARE |
| Louisiana | Other | 721134010A | TRICARE |
| Louisiana | MEDICAID | 1441996 | TRICARE |
| Louisiana | MEDICAID | 1100188 | TRICARE |
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