Provider Demographics
NPI:1275260341
Name:TOUTIREDDY, BHARATSIMHA REDDY (MD)
Entity Type:Individual
Prefix:DR
First Name:BHARATSIMHA
Middle Name:REDDY
Last Name:TOUTIREDDY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5010 MANCUSO LN
Mailing Address - Street 2:406, CITISCAPE AT ESSEN APARTMENTS
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809
Mailing Address - Country:US
Mailing Address - Phone:225-476-3413
Mailing Address - Fax:
Practice Address - Street 1:3401 NORTH BLVD, 130 SUITE
Practice Address - Street 2:BRG MID CITY MEDICINE CLINIC
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809
Practice Address - Country:US
Practice Address - Phone:225-387-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA332230390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program