Individual
SUDHA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1501 KINGS HWY, DEPARTMENT OF PEDIATRICS, SECTION OF ENDOCRINOLOGY, SHREVEPORT, LA 71103-4228
(318) 675-8601
(318) 675-8872
Mailing address
1501 KINGS HWY, DEPARTMENT OF PEDIATRICS, SECTION OF ENDOCRINOLOGY, SHREVEPORT, LA 71103-4228
(318) 675-8601
(318) 675-8872
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
15975R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1465895
—
LA
Enumeration date
07/20/2006
Last updated
12/13/2021
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