Organization Active NPI

Dr. Sesha K. Sataluri, MD, LLC

  • Internal Medicine Physician
  • Shreveport, LA
National Provider Identifier
1336219377
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
201077 Issued in LA
Legal business name
DR. SESHA K. SATALURI, MD, LLC
Practice address
1801 Fairfield Ave., Suite 304
Sesha K. Sataluri, MD, LLC
Shreveport, LA 71101
Phone
(318) 212-0412
Fax
(318) 212-0416
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sesha K Sataluri, MD
Title
MD
Phone
(318) 212-0412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 201077 LA Primary

Addresses

Primary practice location

1801 Fairfield Ave., Suite 304
Sesha K. Sataluri, MD, LLC
Shreveport, LA 71101

Mailing address

1801 Fairfield Ave., Suite 304
Sesha K. Sataluri, MD, LLC
Shreveport, LA 71101
Phone (318) 212-0412

Other identifiers 1

IdentifierTypeStateIssuer
1099597MedicaidLA

National Provider Directory

National Provider Directory

Locations

1801 Fairfield Ave
Ste 304
Shreveport, LA 71101
Phone (318) 212-0412

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1336219377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 FAIRFIELD AVE., SUITE 304",
            "address_2": "SESHA K. SATALURI, MD, LLC",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71101",
            "telephone_number": "318-212-0412",
            "fax_number": "318-212-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 FAIRFIELD AVE., SUITE 304",
            "address_2": "SESHA K. SATALURI, MD, LLC",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71101",
            "telephone_number": "318-212-0412",
            "fax_number": "318-212-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SESHA K. SATALURI, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "SATALURI",
        "authorized_official_first_name": "SESHA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "318-212-0412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "201077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1099597",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.