SUDHA REDDY M.D. NPI 1245250265

NPI Information

  • NPI: 1245250265
  • Provider Name: SUDHA REDDY, M.D.
  • Classification: Pediatrics - 2080P0205X
  • Specialization: Pediatric Endocrinology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1501 KINGS HWY
    DEPARTMENT OF PEDIATRICS, SECTION OF ENDOCRINOLOGY
    SHREVEPORT, LA
    ZIP 71103
  • Phone: (318) 675-8601

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NPI Details

Sudha Reddy, M.D. is a pediatric endocrinology pediatrics in Shreveport, LA. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. Sudha Reddy, M.D. NPI is 1245250265. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1501 KINGS HWY
DEPARTMENT OF PEDIATRICS, SECTION OF ENDOCRINOLOGY
SHREVEPORT, LA
ZIP 71103-228
Phone: (318) 675-8601
Fax: (318) 675-8872

The NPI 1245250265 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 12/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0205XPediatricsPediatric Endocrinology15975RLOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11465895MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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