Organization
Y K REDDY MD APMC ASTHMA AND ALLERGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMALAKAR REDDY YATURU M.D. (OWNER)
(318) 549-3500
Entity
Organization
Contact information
Practice address
2910 SHED RD, SUITE A, BOSSIER CITY, LA 71111-3154
(318) 549-3500
Mailing address
PO BOX 5189, BOSSIER CITY, LA 71171-5189
(318) 549-3500
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
11407R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699624
—
LA
Enumeration date
02/12/2007
Last updated
09/05/2007
Update your record
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