Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICARDO SAMUDIA, MD
ActiveRICARDO SAMUDIA, MD is a Adolescent Medicine healthcare provider located in LAKE CHARLES, Louisiana. NPI 1831142355 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · LAKE CHARLES, LA
Registration Details
- NPI Number
- 1831142355
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2006 (20.261595408945 yrs)
- Last Updated
- Jun 5, 2014
- License
-
07963R (LA)
Practice Information
- Address
-
1717 OAK PARK BLVD FL 3LAKE CHARLES, LA, 706018990Browse LA providers · Browse ZIP 70601
- Phone
- 3374758100
- Fax
- 3374758510
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.