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1023152063
PASAM SUDERSHAN RAO
THIBODAUX, LA
NPI
1023152063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: LA 12265R)
Enumeration Date
2007-02-15
Last Update Date
2015-09-28
Business Address
Dr. PASAM SUDERSHAN RAO MD
1107 AUDUBON AVE A
THIBODAUX, LA 70301-4940
Phone number: 985-447-7004
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Mailing Address
Dr. PASAM SUDERSHAN RAO MD
103 ALLENDALE DR
THIBODAUX, LA 70301-8031
Phone number: 985-447-7004
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