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Contact Information

SUSMITHA ANUMUKONDA, MBBH
2518 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA71118-3112
 Phone: 318-212-5437
 Fax: 318-212-5825
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatric Emergency Medicine

2080P0204X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SUSMITHA ANUMUKONDA · (Female)

NPI # 1184826968
Status Active
Credentials MBBH
Entity Individual
Enumeration date 06/04/2007
Last updated 07/06/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 202111
  • LA License # MD202111
Hospital affiliation(s) Not Available
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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