Ratnam Baby Nagalla
Pediatrician Family Doctor
870 Olive St
Shreveport
, Louisiana 71104-2159
Ratnam Baby Nagalla
Pediatrician Family Doctor
870 Olive St
Shreveport
, Louisiana 71104-2159
(318) 629-0483
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About
Features
Specialties
- Family Doctor
- Pediatrician
Languages spoken
- English
Location
First Address
- Ratnam Baby Nagalla
- 870 Olive St
- Shreveport, LA
- Zip : 71104-2159
- Fax : (318) 629-0483
- Phone : (318) 629-0480
Second Address
- Ratnam Baby Nagalla
- 870 Olive St
- Shreveport, LA
- Zip : 71104-2159
- Fax : (318) 629-0483
- Phone : (318) 629-0480
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | MD.03803R | LA |
| Y | 208000000X | Pediatrician | MD.03803R | LA |
National Provider Identifier
| NPI | 1013042985 |
|---|---|
| Provider Name | Ratnam Baby Nagalla |
| First Address | Shreveport, LA 71104-2159 |
| Second Address | Shreveport, LA 71104-2159 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/02/2007 |
| Last Update Date | 19/11/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1152609 | (05) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.