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NPI Code Detail

MEDICARE: THRISHALA REDDY KASIREDDY MD

MEDICARE: THRISHALA REDDY KASIREDDY 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
1208M00000XHospitalist Physician341301LA

General Provider Information

NPI Number : 1740956622
Entity Type Code : Individual
Provider Name (Legal Business Name) : THRISHALA REDDY KASIREDDY MD
Provider Business Mailing Address
First Line : 601 GREENBRIER WAY
Second Line :
City : SLIDELL
State : LA
Zip : 70460-5157
Country : US
Telephone Number : 703-826-5073
Fax Number :
Provider Business Practice Location Address
First Line : 1001 GAUSE BLVD
Second Line :
City : SLIDELL
State : LA
Zip : 70458-2987
Country : US
Telephone Number : 985-280-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2021
Last Update Date : 07/08/2024

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Directions to “ THRISHALA REDDY KASIREDDY MD” Practice Location

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