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General NPI Number Information
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NPI Number | 1740956622
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Entity Type | Individual
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Provider Name | THRISHALA REDDY KASIREDDY MD
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Gender | Female
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Dates
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Enumeration Date | 08/19/2021
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Last Update Date | 07/08/2024
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Provider Practice Location Address
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Address Line | 1001 GAUSE BLVD
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City | SLIDELL
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State | LA
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Zip | 70458-2987
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Country | US
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Telephone | 985-280-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 601 GREENBRIER WAY
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City | SLIDELL
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State | LA
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Zip | 70460-5157
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Country | US
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Telephone | 703-826-5073
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 341301
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License Number State | LA
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