Individual
SUMANTH KUNDOOR REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5380
(225) 761-5250
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
DO.000357
LA
2085R0202X
Diagnostic Radiology Physician
M0236
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05836577
—
MS
05
—
2382187
—
LA
Enumeration date
03/27/2009
Last updated
11/16/2015
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