NPI 1083646764 · live from the CMS NPI Registry
Sudershan Reddy Admal, m.d
Internal Medicine in Alexandria, LA. National Provider Identifier 1083646764, active.
NPI record
| NPI | 1083646764 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | V.A Medical Center, Shreveport Highway, Alexandria, LA 71306 |
| Practice phone | 318-473-0010 |
| Mailing address | P.O Box 69004, V.A Medical Center, Alexandria, LA 71306 |
| Enumerated | July 6, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine primary | 207R00000X | 05327R (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.