| Ravindra R Reddy Md A Professional Medical Corporation | |
|
3520 General Degaulle Dr Suite 4098 New Orleans LA 70114-6757 | |
| (504) 362-8046 | |
| (504) 362-2215 |
| Full Name | Ravindra R Reddy Md A Professional Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 3520 General Degaulle Dr, New Orleans, Louisiana |
| Authorized Official Name and Position | Ravindra R Reddy (DIRECTOR) |
| Authorized Official Contact | 5043628046 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ravindra R Reddy Md A Professional Medical Corporation 3520 General Degaulle Dr Suite 4098 New Orleans LA 70114-6757 Ph: (504) 362-8046 | Ravindra R Reddy Md A Professional Medical Corporation 3520 General Degaulle Dr Suite 4098 New Orleans LA 70114-6757 Ph: (504) 362-8046 |
| NPI Number | 1487955274 |
|---|---|
| Provider Enumeration Date | 11/09/2010 |
| Last Update Date | 11/09/2010 |
| Medicare PECOS PAC ID | 8325237704 |
|---|---|
| Medicare Enrollment ID | O20110117000200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487955274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 15088R (Louisiana) | Primary |
| Provider Name | Ravindra R Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487679478 PECOS PAC ID: 0244208213 Enrollment ID: I20040918000025 |
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