npidexNPI registry + Medicare data

SASI PENUKONDA, MD

Pediatric Endocrinology Physician · SHREVEPORT, LA

Individual Active NPI 1811220957

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Pediatric Endocrinology Physician2080P0205X✓325077LA
Pediatrics Physician208000000X261269MA

Medicare eligibility

Part B
No
DME
Yes
Home health
No
Power mobility
Yes
Hospice
No

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.