Dr Deepa Vasireddy, MD | |
7053 Johnston St, Lafayette, LA 70503-6305 | |
(337) 210-5043 | |
(337) 408-8578 |
Full Name | Dr Deepa Vasireddy |
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Gender | Female |
Speciality | Pediatrics |
Location | 7053 Johnston St, Lafayette, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639425523 | NPI | - | NPPES |
2398261 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 207937 (Louisiana) | Primary |
Entity Name | Pediatric Group Of Acadiana, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265499628 PECOS PAC ID: 2466476023 Enrollment ID: O20060123000121 |
Mailing Address | Practice Location Address |
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Dr Deepa Vasireddy, MD 401 Youngsville Hwy, Suite 100, Lafayette, LA 70508-5173 Ph: (337) 330-0031 | Dr Deepa Vasireddy, MD 7053 Johnston St, Lafayette, LA 70503-6305 Ph: (337) 210-5043 |
Dr. Sheung Man Alexander Sin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 615-322-5000 | |
Karl M. Valcourt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-470-2605 | |
Neva Ducote Seago, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4600 Ambassador Caffery Pkwy, Women's And Children's Hospital, Lafayette, LA 70508 Phone: 337-521-9100 | |
Dr. Colleen C Sicard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Beaullieu Dr Ste 7, Lafayette, LA 70508 Phone: 337-366-8616 Fax: 337-366-8133 | |
Dr. Virginia B Coreil, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5000 Ambassador Caffery Pkwy Bldg 12, Lafayette, LA 70508 Phone: 337-470-3150 Fax: 337-470-3161 | |
Dr. Ebenezer S. Bediako, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-470-5500 Fax: 337-521-9166 | |
Mr. Cong T Vo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 107 Montrose Avenue, Suite D, Lafayette, LA 70503 Phone: 337-981-9316 Fax: 337-981-8303 |