Provider Demographics
NPI:1376107367
Name:SOUNDRANAYAGAM, SHEAHAHN VIKASH (MD)
Entity Type:Individual
Prefix:
First Name:SHEAHAHN
Middle Name:VIKASH
Last Name:SOUNDRANAYAGAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:INTERNAL MEDICINE RESIDENCY PROGRAM CHABERT MEDICAL
Mailing Address - Street 2:CENTER, 1978 INDUSTRIAL BLVD
Mailing Address - City:HOURNA
Mailing Address - State:LA
Mailing Address - Zip Code:70363
Mailing Address - Country:US
Mailing Address - Phone:985-873-2710
Mailing Address - Fax:
Practice Address - Street 1:INTERNAL MEDICINE RESIDENCY PROGRAM CHABERT MEDICAL
Practice Address - Street 2:CENTER, 1978 INDUSTRIAL BLVD
Practice Address - City:HOURNA
Practice Address - State:LA
Practice Address - Zip Code:70363
Practice Address - Country:US
Practice Address - Phone:985-873-2710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program