Organization
NAGARATNA REDDY MD
Active
Other names
Reddy Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAGARATNA REDDY M.D (PRESIDENT)
(225) 545-3631
Entity
Organization
Contact information
Practice address
217 RAILROAD AVE, DONALDSONVILLE, LA 70346-2527
(225) 545-3631
Mailing address
217 RAILROAD AVE, DONALDSONVILLE, LA 70764
(225) 545-3631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05775R
LA
207R00000X
Internal Medicine Physician
15680R
LA
363AM0700X
Medical Physician Assistant
PA A10313
LA
363AM0700X
Medical Physician Assistant
PA200199
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1320251
—
LA
05
—
1445118
—
LA
05
—
1469238
—
LA
05
—
1626597
—
LA
05
—
1948144
—
LA
05
—
1948292
—
LA
05
—
1949248
—
LA
05
—
1949809
—
LA
Enumeration date
11/12/2008
Last updated
10/22/2014
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