Rachamallu, Sudheera
Rachamallu, Sudheera is an individual health care provider with primary practice located at 7777 Hennessy Blvd Ste 700 , Baton Rouge LA 70808-4300. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Rachamallu, Sudheera can be contacted via phone (225) 765-8648.Contact Information
Primary practice address
7777 Hennessy Blvd Ste 700
Baton Rouge LA 70808-4300
Phone: (225) 765-8648
Fax: (225) 765-7898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD200096 | Louisiana |
Profile Details
| NPI number | 1629063789 |
|---|---|
| LBN Legal business name | Rachamallu, Sudheera |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Jan 20th, 2022 - about 3 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 | 1629063789 | NPPES |
| Mississippi | MEDICAID | 09806288 | |
| Mississippi | MEDICAID | 1629375 |
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