Individual
DR. GOLLAMUDI H REDDY I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2375 GAUSE BLVD E, SLIDELL, LA 70461-4142
(985) 781-5600
(985) 781-5601
Mailing address
1527 GAUSE BLVD, SUITE 225, SLIDELL, LA 70458-2244
(985) 781-5600
(985) 781-5601
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
08804R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1918105
—
LA
Enumeration date
07/17/2006
Last updated
07/01/2016
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