Patlola, Raghotham Reddy
Patlola, Raghotham Reddy is an sole proprietor health care provider with primary practice located at 4811 Ambassador Caffery Parkway Suite 401A, Lafayette LA 70508. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Patlola, Raghotham Reddy can be contacted via phone (337) 456-6523.Contact Information
Primary practice address
4811 Ambassador Caffery Parkway Suite 401A
Lafayette LA 70508
Phone: (337) 456-6523
Fax: (337) 456-6521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 15607R | Louisiana |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 15607R | Louisiana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 23173 | Mississippi |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 23173 | Mississippi |
Profile Details
| NPI number | 1821095860 |
|---|---|
| LBN Legal business name | Patlola, Raghotham Reddy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2005 |
| Last updated | May 11th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821095860 | NPPES |
| Louisiana | MEDICAID | 1349844 | |
| Louisiana | Other | P00158213 |
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