Individual
SANTHOSH K REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
970 N ALEXANDER AVE, PORT ALLEN, LA 70767-2121
(225) 383-6363
(225) 383-6367
Mailing address
970 N ALEXANDER AVE, PORT ALLEN, LA 70767-2121
(225) 383-6363
(225) 383-6367
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
09019R
LA
Other
Enumeration date
03/18/2006
Last updated
05/05/2011
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