| Sarat K Donepudi Md Apmc | |
|
21420 Highway 20 Vacherie LA 70090-3614 | |
| (225) 265-3013 | |
| (225) 265-3775 |
| Full Name | Sarat K Donepudi Md Apmc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 21420 Highway 20, Vacherie, Louisiana |
| Authorized Official Name and Position | Sarat K Donepudi (PRESIDENT) |
| Authorized Official Contact | 2252653013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarat K Donepudi Md Apmc 21420 Highway 20 West Vacherie LA 70090-3614 Ph: (225) 265-3013 | Sarat K Donepudi Md Apmc 21420 Highway 20 Vacherie LA 70090-3614 Ph: (225) 265-3013 |
| NPI Number | 1417134735 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 08/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417134735 | NPI | - | NPPES |
| 1197530 | Medicaid | LA | |
| 1036692 | Other | MEDICAID GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 04727R (Louisiana) | Primary |
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