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NPI Code Detail

MEDICARE: DR. REDA WILLIAM M.D.

MEDICARE: DR. REDA WILLIAM M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician08146RLA

General Provider Information

NPI Number : 1982638276
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REDA WILLIAM M.D.
Provider Business Mailing Address
First Line : 541 SUITE E VERSAILLES BLVD
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303
Country : US
Telephone Number : 318-561-0232
Fax Number :
Provider Business Practice Location Address
First Line : 73153 MILITARY RD
Second Line :
City : COVINGTON
State : LA
Zip : 70435-6054
Country : US
Telephone Number : 985-626-6133
Fax Number : 985-626-6136
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 07/08/2007

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