Pasam Sudershan Rao, MD Valid NPI

Individual provider · Gastroenterology Physician · Thibodaux, LA

NPI

1023152063

Type

Individual (Type 1)

Primary specialty

Gastroenterology Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207RG0100X

License number

12265R (LA)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-02-15

Last updated

2015-09-28