Reddy, Konda Devender

Reddy, Konda Devender is an individual health care provider with primary practice located at 1700 Lindberg Dr , Slidell LA 70458-8062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Reddy, Konda Devender can be contacted via phone (985) 641-8008.

Contact Information

Primary practice address
1700 Lindberg Dr Slidell LA 70458-8062
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD.014534 Louisiana

Profile Details

NPI number 1760546014
LBN Legal business name Reddy, Konda Devender
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Mar 5th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760546014 NPPES
Louisiana MEDICAID 1348198
Louisiana Other 4381946510

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