DR. PASAM SUDERSHAN RAO (NPI# 1023152063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023152063 |
| Entity Type | Individual |
| Full Name | DR. PASAM SUDERSHAN RAO |
| Credential | MD |
| Practice Address |
1107 Audubon Ave A Thibodaux LA 70301-4940 |
| Mailing Address |
103 Allendale Dr Thibodaux LA 70301-8031 |
| Practice Telephone | 9854477004 |
| Practice Fax Number | 9854477003 |
| Mailing Telephone | 9854477004 |
| Mailing Fax Number | 9854477003 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2015-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
12265R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1534994 | 05 |
| Street Address |
1107 AUDUBON AVE A |
| City | THIBODAUX |
| State | LA |
| Zip Code | 70301-4940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
| 1982112348 | Katie Leblanc | Massage Therapist | 1115 St. Mary Street, Thibodaux, LA 70301 | 2018-01-18 |
| 1154837391 | Texas Digestive Disease Consultants, Pllc | Internal Medicine | 764 North Acadia Road, Suite A, Thibodaux, LA 70301 | 2017-12-26 |
| 1235648239 | Speech and Feeding Therapy, LLC | Speech-Language Pathologist | 1000 Plantation Rd Ste 1a, Thibodaux, LA 70301 | 2017-09-22 |
| 1285150466 | Tara Payne | Counselor | 303 Hickory Street, Thibodaux, LA 70301 | 2017-08-18 |
| 1427583475 | Tyler Pettigrew | Counselor | 300 Plantation Rd., Apt #24, Thibodaux, LA 70301 | 2017-04-27 |
| 1750825758 | Jessica Barquet | Counselor | 110 Palm Villa Dr Apt 1, Thibodaux, LA 70301 | 2016-12-09 |
| 1013468230 | Shenee Haas Gros | Counselor | 504 Cherry St., Thibodaux, LA 70301 | 2016-10-24 |
| 1982155388 | Southern Ent Associates Inc | Audiologist | 604 North Acadia Road Suite 101, Thibodaux, LA 70301 | 2016-10-20 |
| 1215483888 | Lesheeca Norman, Lpc | Counselor | 306 Victoria Court, Thibodaux, LA 70301 | 2016-09-01 |
| Find all providers in zip 70301 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154837391 | Texas Digestive Disease Consultants, Pllc | Internal Medicine | 764 North Acadia Road, Suite A, Thibodaux, LA 70301 | 2017-12-26 |
| 1780877431 | Justin Paul Toups | Internal Medicine | 602 N Acadia Rd, Ste. 101, Thibodaux, LA 70301-4847 | 2007-08-24 |
| 1508910969 | Charles J. Monier, Jr., Md, LLC | Internal Medicine | 602 N Acadia Rd, Suite 101, Thibodaux, LA 70301-4847 | 2007-01-23 |
| 1043288160 | Charles J Monier Jr. | Internal Medicine | 602 N Acadia Rd, Suite 101, Thibodaux, LA 70301-4847 | 2006-03-14 |
| 1861460982 | Stephen C Duplechain | Internal Medicine | 602 N Acadia Rd, Suite 101, Thibodaux, LA 70301-4847 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952878506 | Hospital Service District 1 of East Baton Rouge Parish | Internal Medicine | 6550 Main St Ste 3500, Zachary, LA 70791-4092 | 2018-10-31 |
| 1588077507 | Gi & Liver Consultants, L.L.C. | Internal Medicine | 614 Tchoupitoulas St, New Orleans, LA 70130-3212 | 2014-06-06 |
| 1437584885 | John William Hoppe Jr. | Internal Medicine | 533 High Lake Dr, Baton Rouge, LA 70810-4334 | 2013-09-04 |
| 1003251356 | Krunal Patel | Internal Medicine | 6550 Main St # 3500, Zachary, LA 70791-4092 | 2013-04-30 |
| 1437416617 | Jacob Lee Breaux | Internal Medicine | 1211 Coolidge Blvd Ste 303, Lafayette, LA 70503 | 2012-04-12 |
| 1477843761 | Julie C Guider | Internal Medicine | 2820 Napoleon Ave Ste 720, New Orleans, LA 70115-8291 | 2011-04-08 |
| 1750600748 | Elvin Hardy | Internal Medicine | 505 Seneca Trl, Shreveport, LA 71107-5424 | 2010-05-31 |
| 1083931646 | Eric Charles Fontenot | Internal Medicine | 555 Dr Michael Debakey Dr Ste 101, Lake Charles, LA 70601-5700 | 2010-04-22 |
| 1780818286 | Christie Bean Blanton | Internal Medicine | 1430 Tulane Ave # Sl-50, New Orleans, LA 70112-2632 | 2009-05-12 |
| 1538304597 | Nisha B Patel | Internal Medicine | 555 Dr. Michael Debakey Drive, Suite 101, Lake Charles, LA 70601-5700 | 2008-12-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.