| Reddy Family Medical Clinic | |
|
58725 Belleview Dr Ste A-5 Plaquemine LA 70764-3948 | |
| (225) 473-3931 | |
| (225) 473-3289 |
| Full Name | Reddy Family Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 58725 Belleview Dr, Plaquemine, Louisiana |
| Authorized Official Name and Position | Nagaratna Reddy (PHYSICIAN) |
| Authorized Official Contact | 2256876200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reddy Family Medical Clinic 217 Railroad Ave Donaldsonville LA 70346-2527 Ph: (225) 687-6200 | Reddy Family Medical Clinic 58725 Belleview Dr Ste A-5 Plaquemine LA 70764-3948 Ph: (225) 473-3931 |
| NPI Number | 1811013709 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/09/2012 |
| Medicare PECOS PAC ID | 0547236242 |
|---|---|
| Medicare Enrollment ID | O20100513000214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811013709 | NPI | - | NPPES |
| 5F973 | Other | LA | MEDICARE PART B |
| 1949809 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 05775R (Louisiana) | Primary |
| 207R00000X | Internal Medicine | 15680R (Louisiana) | Secondary |
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