Koppolu, Madan Mohan Reddy

Koppolu, Madan Mohan Reddy is an sole proprietor health care provider with primary practice located at 309 Jackson St , Monroe LA 71201-7407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Koppolu, Madan Mohan Reddy can be contacted via phone (318) 966-4000.

Contact Information

Primary practice address
309 Jackson St Monroe LA 71201-7407
Phone: (318) 966-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD204817 Louisiana

Profile Details

NPI number 1700033032
LBN Legal business name Koppolu, Madan Mohan Reddy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2008
Last updated Apr 18th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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