MEDICARE: MALIPEDDI NAGENDRA K REDDY MD

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
1	207R00000X	Internal Medicine Physician	351307	LA

General Provider Information

NPI Number	:	1598469918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MALIPEDDI NAGENDRA K REDDY MD

Provider Business Mailing Address
First Line	:	7373 PERKINS RD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-4373
Country	:	US
Telephone Number	:	225-246-9790
Fax Number	:	225-763-4549

Provider Business Practice Location Address
First Line	:	3401 NORTH BLVD STE 130
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-3743
Country	:	US
Telephone Number	:	225-387-7900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2023
Last Update Date	:	06/10/2026

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