SUSMITHA ANUMUKONDA

SHREVEPORT, LA
NPI1184826968
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: LA  MD202111)
Additional Taxonomies2080P0204X Pediatrics, Pediatric Emergency Medicine
(Licence: LA  202111)
Enumeration Date2007-06-04
Last Update Date2021-07-06
Business Address
SUSMITHA ANUMUKONDA MBBH
2518 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118-3112
Phone number: 318-212-5437
Mailing Address
SUSMITHA ANUMUKONDA MBBH
2518 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118-3112
Phone number: 318-212-5437
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