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Contact Information

SAI KONDURU, MD
2727 HEARNE AVE STE 301
SHREVEPORT, LA71103-3918
 Phone: 318-631-6400
 Fax: 318-631-0300
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SAI KONDURU · (Male)

NPI # 1972714889
Status Active
Credentials MD
Entity Individual
Enumeration date 05/24/2007
Last updated 03/31/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • LA License # MD201937
  • OH License # 35.146209
  • LA Medicaid 1066583
Hospital affiliation(s)
  • WILLIS KNIGHTON MEDICAL CENTER - (Acute Care)
    2600 GREENWOOD ROAD
    SHREVEPORT, LA 71103
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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