Individual
DR. ASHOK REDDY POLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-6565
Mailing address
10101 PARK ROWE AVE STE 200, BATON ROUGE, LA 70810-1685
(225) 769-2200
(225) 768-2185
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
328469
LA
2084V0102X
Vascular Neurology Physician
Primary
69728
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
328469
MD LICENSE NUMBER
—
05
—
Q088547
—
TN
Enumeration date
06/29/2015
Last updated
12/18/2024
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