Organization
NAGARATNA REDDY M.D
Active
Other names
Reddy Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAGARATNA REDDY M.D (PHYSICIAN)
(225) 473-3931
Entity
Organization
Contact information
Practice address
217 RAILROAD AVE, DONALDSONVILLE, LA 70346-2527
(225) 473-3931
(225) 473-3289
Mailing address
217 RAILROAD AVE, DONALDSONVILLE, LA 70346-2527
(225) 473-3931
(225) 473-3289
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05775R
LA
207R00000X
Internal Medicine Physician
15680R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1948144
—
LA
01
—
5F973
MEDICARE PART B
LA
Enumeration date
03/21/2007
Last updated
08/09/2012
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