Individual
KONDA DEVENDER REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 LINDBERG DR, SLIDELL, LA 70458-8062
(985) 641-8008
Mailing address
PO BOX 3249, SLIDELL, LA 70459-3249
(985) 641-8008
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD.014534
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1348198
—
LA
01
—
4381946510
BLUE CROSS
LA
Enumeration date
12/21/2006
Last updated
03/05/2013
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