Organization
REDDY FAMILY MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAGARATNA REDDY M.D (PHYSICIAN)
(225) 545-3631
Entity
Organization
Contact information
Practice address
3407 HIGHWAY 70 S, PIERRE PART, LA 70339-4524
(985) 252-1000
(985) 252-1003
Mailing address
217 RAILROAD AVE, DONALDSONVILLE, LA 70346-2527
(225) 473-3931
(225) 473-3289
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05775R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1948292
—
LA
01
—
5F973
MEDICARE PART B
LA
Enumeration date
03/17/2010
Last updated
03/17/2010
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