Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Sasi Kiran Penukonda, MD

Individual provider Pediatrics Physician · NPI 1811220957

Dr. Sasi Kiran Penukonda, MD is a Pediatrics Physician in Shreveport, Louisiana. Licensed in Louisiana and Massachusetts. Registered with an NPI since 2009.

Licensed in
LA, MA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2032 Elizabeth Ave
Shreveport, LA 71104-2123
Phone: (318) 698-0035
Fax: (318) 698-0078
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Endocrinology Physician (primary) Taxonomy 2080P0205X · Licence 325077 (LA)
Pediatrics Physician Taxonomy 208000000X · Licence 261269 (MA)

Record details

NPI number1811220957
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 8, 2009
Last updated in NPPESJanuary 9, 2023
Certification dateJanuary 9, 2023

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