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Individual

DR. KISHORE K MALIREDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MBBS

Contact information

Practice address
102 MONROE STREET,, SUITE B, MINDEN, LA 71055
(318) 377-4534
(318) 377-4535
Mailing address
102 MONROE STREET,, SUITE B, MINDEN, LA 71055
(318) 377-4534
(318) 377-4535

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
206638
LA

Other

Enumeration date
05/07/2007
Last updated
04/01/2014
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