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1336182989
PRABHAKARA VENKATA REDDY
LAFAYETTE, LA
NPI
1336182989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: LA 11442R)
Enumeration Date
2006-06-13
Last Update Date
2007-07-08
Business Address
Dr. PRABHAKARA VENKATA REDDY MD
1105 KALISTE SALOOM RD
LAFAYETTE, LA 70508-5705
Phone number: 337-981-6717
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Mailing Address
Dr. PRABHAKARA VENKATA REDDY MD
200 CORPORATE BLVD SUITE 201
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698
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