Individual
MADHUMATI REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
(540) 915-4577
Mailing address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
320998
LA
Other
Enumeration date
06/10/2016
Last updated
12/11/2023
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