Santhosh K Reddy, M.D

Primary specialty

Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X

License

09019R Issued in LA

Practice address

970 N Alexander Ave
Port Allen, LA 70767-2121

Phone

(225) 383-6363

Fax

(225) 383-6367

NPI assigned

Mar 18, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1174582233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 N ALEXANDER AVE",
            "city": "PORT ALLEN",
            "state": "LA",
            "postal_code": "707672121",
            "telephone_number": "225-383-6363",
            "fax_number": "225-383-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N ALEXANDER AVE",
            "city": "PORT ALLEN",
            "state": "LA",
            "postal_code": "707672121",
            "telephone_number": "225-383-6363",
            "fax_number": "225-383-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SANTHOSH",
        "middle_name": "K",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "LA",
            "license": "09019R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Care Providers for a Healthy Feliciana Inc
• Primary Care Providers for a Healthy Feliciana, Inc
• Primary Care Providers for a Healthy Feliciana, Inc.
• Kristi Crochet Rabalais, NP
• Tanya Cannon Rachal, LOT
• Erika Richard
• Cedric R Richardson
• Kayla Mouch Richoux
• River Healthcare, Inc
• Fred Paul Rodrigue Jr., D.C.

• Adolescent Medicine (Internal Medicine) Physician in Port Allen, LA
• Providers in Port Allen, LA by specialty
• Adolescent Medicine (Internal Medicine) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.