Basic Information
| Provider Information | |||||||||
| NPI: | 1174058358 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MALIREDDY | ||||||||
| FirstName: | SAI SRIDHAR REDDY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8585 PICARDY AVENUE, MEDICAL TOWER 2 | ||||||||
| Address2: | BATON ROUGE GENERAL INTERNAL MEDICINE RESIDENCY PROGRAM | ||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 70808 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2258191120 | ||||||||
| FaxNumber: | 2257634617 | ||||||||
| Practice Location | |||||||||
| Address1: | 8585 PICARDY AVENUE | ||||||||
| Address2: | BATON ROUGE GENERAL INTERNAL MEDICINE RESIDENCY PROGRAM | ||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 70808 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2258191120 | ||||||||
| FaxNumber: | 2257634617 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/26/2017 | ||||||||
| LastUpdateDate: | 04/26/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.