Individual
SHILPA MAINAMPATI REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9001 SUMMA AVENUE, BATON ROUGE, LA 70809-3726
(225) 761-5480
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.204354
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03525510
—
MS
05
—
1022977
—
LA
Enumeration date
02/28/2008
Last updated
06/03/2011
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