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Contact Information

RICARDO SAMUDIA, MD
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA70601-8990
 Phone: 337-475-8100
 Fax: 337-475-8510
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RICARDO SAMUDIA · (Male)

NPI # 1831142355
Status Active
Credentials MD
Entity Individual
Enumeration date 05/18/2006
Last updated 06/05/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 07963R
Hospital affiliation(s)
  • SABINE MEDICAL CENTER - (Acute Care)
    240 HIGHLAND DRIVE
    MANY, LA 71449
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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