| Deepika Ralla Md Llc | |
|
2525 Viking Dr Bossier City LA 71111-2103 | |
| (318) 841-2525 | |
| Not Available |
| Full Name | Deepika Ralla Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2525 Viking Dr, Bossier City, Louisiana |
| Authorized Official Name and Position | Deepika Reddy Ralla (MEMBER MANAGER) |
| Authorized Official Contact | 2014556383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deepika Ralla Md Llc Po Box 1684 Shreveport LA 71165-1684 Ph: (318) 424-4008 | Deepika Ralla Md Llc 2525 Viking Dr Bossier City LA 71111-2103 Ph: (318) 841-2525 |
| NPI Number | 1508335738 |
|---|---|
| Provider Enumeration Date | 11/16/2018 |
| Last Update Date | 11/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508335738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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