DR. PRABHAKARA VENKATA REDDY


Address: 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705
Phone: 3379816717

DR. PRABHAKARA VENKATA REDDY (NPI# 1336182989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336182989
Entity Type Individual
Full Name DR. PRABHAKARA VENKATA REDDY
Credential MD
Practice Address 1105 Kaliste Saloom Rd
Lafayette
LA 70508-5705
Mailing Address 200 Corporate Blvd
Suite 201
Lafayette
LA 70508-3870
Practice Telephone 3379816717
Mailing Telephone 8008939698
Enumeration Date 2006-06-13
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 11442R LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1160938 05

Other Providers PRABHAKARA REDDY

NPI Name Taxonomy Address Enumeration
1073514584 Prabhakara K Reddy Internal Medicine 1455 Higdon Ferry Rd, Ste B, Hot Springs, AR 71913-6419 2005-08-09

Office Location

Street Address 1105 KALISTE SALOOM RD
City LAFAYETTE
State LA
Zip Code 70508-5705

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609845130 Emergency Group of Lafayette LLC Physician Assistant 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 2006-03-16
1407468135 Ronda Vincent Registered Nurse 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 2020-08-24
1154930915 Richard Jude Leblanc Registered Nurse 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 2020-07-28
1275164261 Garrett Joseph Darbonne Nurse Anesthetist, Certified Registered 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 2020-01-29
1942717269 Joshua Mark Thigpen Nurse Anesthetist, Certified Registered 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 2018-01-09
1932645090 Jarod Boudreaux Nurse Anesthetist, Certified Registered 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 2017-01-13
1124489372 Crystal White Jeansonne Nurse Practitioner 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 2016-03-16
1184812182 Heart Hospital of Acadiana, LLC Special Hospital 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 2007-10-04
1902822786 Lafayette Heart Hospital LLC General Acute Care Hospital 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 2006-07-14
1750344248 Randal Lee Pilgrim Emergency Medicine 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 2006-04-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346868676 Cypress Bend Oral & Maxillofacial Surgery Dentist 106 Rue Bastille, Lafayette, LA 70508 2020-07-13
1184250607 Learning Grove Therapy LLC Clinic/Center 105 Anaheim Lane, Lafayette, LA 70508 2020-03-16
1780218727 Jennifer Trumps Case Manager/Care Coordinator 200 Entergy Parkway, Lafayette, LA 70508 2020-02-28
1740749605 Hunter Sy Arceneaux Physical Therapist 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 2019-03-19
1295292787 Brad Michael Gros Counselor 160 South Beadle Road, Lafayette, LA 70508 2019-02-21
1205337581 Alternative Perspectives, LLC Clinic/Center 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 2018-02-22
1124528807 Zachariah James Hebert Counselor 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 2018-02-19
1164934477 Ilyas Munshi, Md Apmc Non-Pharmacy Dispensing Site 99 W. Martial Ave, Lafayette, LA 70508 2017-10-26
1447761226 Louisiana Orthopaedic Specialists, LLC Durable Medical Equipment & Medical Supplies 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 2017-10-19
1306365457 Mk Dixon Counseling and Consulting Counselor 105 Industrial Parkway, Lafayette, LA 70508 2017-09-10
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760913891 Nathan Francis Marcinkowski Emergency Medicine 216 N 4th St Ste 205, Lafayette, IN 47901-1323 2017-03-21
1134549322 Marc Fernandez Emergency Medicine 121 Rue Louis Xiv Bldg 5, Lafayette, LA 70508-5786 2014-04-26
1710328653 Medexpress Urgent Care, PC - Indiana Emergency Medicine 102 Sagamore Pkwy S, Lafayette, IN 47905-4745 2013-07-08
1467751354 Devan Guidry Szczepanski Emergency Medicine 619 Saint Catherine St, Lafayette, LA 70506-4328 2011-03-18
1730359977 Tonya Boudreaux Emergency Medicine 4600 Ambassador Caffery- Emergency Dept., Lafayette, LA 70508 2008-03-04
1063692481 Braden Conrad Despot Emergency Medicine 200 Travis St Ste 201, Lafayette, LA 70503-2447 2007-11-14
1699970830 Charles P Gillespie Emergency Medicine 2849 Crater Lake Ln, Lafayette, CO 80026-3488 2007-06-18
1730239542 Charles T. Clemons Emergency Medicine 926 Raintree Pl, Lafayette, CA 94549-4816 2007-01-12
1811076995 Brad Alan Boudreaux Emergency Medicine 3619 Ambassador Caffery Pkwy, Bldg E, Lafayette, LA 70503-5132 2006-11-02
1528158060 Joseph C Ryan Emergency Medicine 607 Greenbriar Rd, Lafayette, LA 70503-0000 2006-10-13
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Competitor

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City LAFAYETTE
Zip Code 70508

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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