Active NPI
Dr. Sesha K. Sataluri, MD, LLC
- Internal Medicine Physician
- Shreveport, LA
National Provider Identifier
1336219377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 201077
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1099597 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
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.