Dr. Sasi Kiran Penukonda
MD | Pediatric Endocrinology | Male
Dr. Sasi Kiran Penukonda, MD is a Shreveport, Louisiana based Pediatric doctor with medical specialization in
Pediatric Endocrinology.
Current practice location of Dr. Sasi Kiran Penukonda is
2032 Elizabeth Ave, Shreveport, Louisiana - 71104-2123. He can be contacted on phone at
318-698-0035 and fax number 318-698-0078.
Dr. Sasi Kiran Penukonda is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Sasi Kiran Penukonda is
1811220957 which was assigned by NPPES on 08 Sep, 2009 and it was last updated on 09 Jan, 2023.
Dr. Sasi Kiran Penukonda license number is
325077 for Pediatrics, Pediatric Endocrinology (2080P0205X) in Louisiana.
Dr. Sasi Kiran Penukonda provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Complete Profile:
Dr. Sasi Kiran Penukonda basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Endocrinology |
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| Provider Name : | Dr. Sasi Kiran Penukonda |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Sasi Kiran Penukonda address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2032 Elizabeth Ave
Shreveport, LA, 71104-2123
United States |
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| Phone Number : | 318-698-0035 |
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| Fax Number : | 318-698-0078 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1811220957 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 Sep, 2009 |
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| Last Updated On : | 09 Jan, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Sasi Kiran Penukonda are as mentioned. Primary taxonomy code for Dr. Sasi Kiran Penukonda, MD is
2080P0205X (Pediatrics, Pediatric Endocrinology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 261269 | MA |
| 2080P0205X | Pediatrics, Pediatric Endocrinology | Yes | 325077 | LA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Sasi Kiran Penukonda such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 110103822A | MEDICAID | MA | |
| S400231577 | MEDICARE PIN | MA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2032 Elizabeth Ave
Shreveport, LA, 71104-2123
United States |
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| Phone Number : | 318-698-0035 |
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| Fax Number : | 318-698-0078 |
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Business Location:
Patients can refer following map for directions to
Dr. Sasi Kiran Penukonda practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.