DR. SREELATHA R. PULAKHANDAM (NPI# 1699937953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699937953 |
| Entity Type | Individual |
| Full Name | DR. SREELATHA R. PULAKHANDAM |
| Credential | M.D. |
| Practice Address |
2829 4th Avenue Lake Charles LA 70601 |
| Practice Telephone | 3374777091 |
| Practice Fax Number | 3374744552 |
| Mailing Telephone | 3374777091 |
| Mailing Fax Number | 3374744552 |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2010-12-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
201314 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1183814 | 05 |
| Street Address |
2829 4TH AVENUE |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679602932 | Said Cantu | Psychiatry & Neurology | 2829 4th Avenue, Lake Charles, LA 70601 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998896 | Sarah Hanif | Psychiatry & Neurology | 2300 Severn Ave Apt N212, Metairie, LA 70001-1908 | 2020-07-04 |
| 1750808911 | One Telemed LLC | Psychiatry & Neurology | 1001 W Pinhook Road, Building 3 Suite 219, Lafayette, LA 70503 | 2017-08-28 |
| 1194196535 | Advance Telehealth Consulting Solutions, LLC | Psychiatry & Neurology | 1001 W. Pinhook Road, Building 3 Suite 219, Lafayette, LA 70503 | 2015-10-12 |
| 1710305701 | Erin Prince | Psychiatry & Neurology | 1542 Tulane Ave Rm 238a, New Orleans, LA 70112-2865 | 2014-04-07 |
| 1770826620 | Donna Lou | Psychiatry & Neurology | 117 Acadia Ln, Destrehan, LA 70047-3021 | 2013-03-28 |
| 1952643736 | Maegen S Vincent | Psychiatry & Neurology | 131 South Robertson Street, 14th Floor, New Orleans, LA 70112 | 2013-03-20 |
| 1497013676 | Child Counseling Associates | Psychiatry & Neurology | 313 E William David Pkwy, Metairie, LA 70005-3309 | 2012-04-25 |
| 1417214164 | Nicholas Lawrence Lavin | Psychiatry & Neurology | 913 S College Rd Ste 102, Lafayette, LA 70503-3061 | 2012-04-19 |
| 1093090441 | Naomi Es Mann | Psychiatry & Neurology | 5010 Saint Charles Ave, New Orleans, LA 70115-4939 | 2011-10-17 |
| 1497048912 | Lauren Kaczka-weiss | Psychiatry & Neurology | 1440 Canal St # Tb52, New Orleans, LA 70112-2703 | 2011-05-17 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
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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.