Individual
DR. JYOTHI REDDY MALLEPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3402 MAGNOLIA COVE, MONROE, LA 71203
(318) 388-5830
(318) 322-1249
Mailing address
PO BOX 4083, MONROE, LA 71211-4083
(318) 388-5830
(318) 322-1249
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
12442R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1533424
—
LA
Enumeration date
08/11/2006
Last updated
04/08/2010
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