Individual
RAJINI KANTH REDDY YATAVELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 KINGS HWY, ENDOCRINOLOGY, SHREVEPORT, LA 71103-4228
(318) 813-2500
Mailing address
1501 KINGS HWY, ENDOCRINOLOGY, SHREVEPORT, LA 71103-4228
(318) 813-2500
(318) 813-2565
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD.303038
LA
Other
Enumeration date
07/10/2012
Last updated
09/08/2016
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