Basireddy, Mahesh Reddy

Basireddy, Mahesh Reddy is an individual health care provider with primary practice located at 5131 Odonovan Dr Ste 100 , Baton Rouge LA 70808-4791. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Basireddy, Mahesh Reddy can be contacted via phone (225) 767-4893.

Contact Information

Primary practice address
5131 Odonovan Dr Ste 100 Baton Rouge LA 70808-4791
Phone: (225) 767-4893
Fax: (225) 408-1959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD 201566 Louisiana

Profile Details

NPI number 1578777058
LBN Legal business name Basireddy, Mahesh Reddy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Jun 29th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578777058 NPPES
Louisiana MEDICAID 1021296

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