NPI | 1811013709 |
---|---|
Doing Business As | REDDY FAMILY MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | NAGARATNA REDDY Physician 225-687-6200 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 05775R) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 15680R) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2012-08-09 |