Deepika Ralla MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DEEPIKA RALLA MD LLC

Practice address

2525 Viking Dr
Bossier City, LA 71111-2103

Phone

(318) 841-2525

NPI assigned

Nov 16, 2018

Last updated

Nov 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deepika Reddy Ralla, MD

Title

Member Manager

Phone

(201) 455-6383

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542326400000",
    "number": "1508335738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1684",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711651684",
            "telephone_number": "318-424-4008",
            "fax_number": "855-230-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 VIKING DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112103",
            "telephone_number": "318-841-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPIKA RALLA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A",
        "authorized_official_last_name": "RALLA",
        "authorized_official_first_name": "DEEPIKA",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "201-455-6383",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Aileen Davis, PHARMD
• Yasmeen Davis
• Rebeca Souza De Menezes
• Katherine Leslie Dean, M.D.
• Deana M Clifton a Professional Optometry Corporation (Clifton Eye Center)
• Patrick H Deere, M.D.
• Rachael Deere, APRN
• Jean Degennaro, RPH
• Stacey Dekinder
• Sagar Raman Desai, OD

• Internal Medicine Physician in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.