Sreenivasa Rao Tadikonda

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

SREENIVASA RAO TADIKONDA

Practice address

1401 Ezelle St
Ruston, LA 71270-7218

Phone

(318) 251-3126

NPI assigned

May 19, 2022

Last updated

May 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sreenivasa Tadikonda, MD

Title

Owner/Provider

Phone

(318) 547-0466

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1891432910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PALEO DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712038844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 EZELLE ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712707218",
            "telephone_number": "318-251-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SREENIVASA RAO TADIKONDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "TADIKONDA",
        "authorized_official_first_name": "SREENIVASA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "318-547-0466",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hospitalist Physician in Ruston, LA
• Providers in Ruston, LA by specialty
• Hospitalist Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.