Individual
PRATAP CHANDUPATLA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 KINGS HWY, DEPARTMENT OF MEDICINE CARDIOLOGY, SHREVEPORT, LA 71103-4228
(318) 675-5941
(318) 675-5686
Mailing address
1501 KINGS HWY, DEPARTMENT OF MEDICINE CARDIOLOGY, SHREVEPORT, LA 71103-4228
(318) 675-5941
(318) 675-5686
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
06424R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1340936
—
LA
Enumeration date
07/20/2006
Last updated
06/18/2008
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