Doctor Name: | SANTHOSH K REDDY |
NPI Number: | 1174582233 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | 09019R |
Business Practice Address: | 970 N Alexander Ave Port Allen, LA - 707672121 |
Business Phone Number: | 2253836363 |
Business Fax Number: | 2253836367 |
Mailing Address: | 970 N Alexander Ave, PORT ALLEN |
State: | LA |
Postal Code: | 707672121 |
Phone Number: | 2253836363 |
Fax Number: | 2253836367 |
NPI Enumeration Date: | 03/18/2006 |
NPI Last Update Date: | 05/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RA0000X |
License Number: | 09019R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |