MADAN MOHAN REDDY KOPPOLU

MONROE, LA
NPI1700033032
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208M00000X Hospitalist
(Licence: LA  MD204817)
Enumeration Date2008-08-18
Last Update Date2012-04-18
Business Address
-- MADAN MOHAN REDDY KOPPOLU M.D.
309 JACKSON ST
MONROE, LA 71201-7407
Phone number: 318-966-4000
Mailing Address
-- MADAN MOHAN REDDY KOPPOLU M.D.
216 GREY EAGLE DR
SHREVEPORT, LA 71115
Phone number: 520-906-7591