Provider Demographics
NPI:1356601512
Name:THANGUDU, ARTI ALLAM (MD)
Entity type:Individual
Prefix:DR
First Name:ARTI
Middle Name:ALLAM
Last Name:THANGUDU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ARTI
Other - Middle Name:
Other - Last Name:ALLAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1430 TULANE AVE # SL-50
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2632
Mailing Address - Country:US
Mailing Address - Phone:504-988-6032
Mailing Address - Fax:
Practice Address - Street 1:1430 TULANE AVE # SL-50
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2632
Practice Address - Country:US
Practice Address - Phone:504-988-6032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-22
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LABU3479335-2022207R00000X
LABT4601692-5083207R00000X
TXBP10043027207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine