Provider Demographics
NPI:1215349451
Name:ANUGU, VISWAJIT REDDY (MD)
Entity type:Individual
Prefix:MR
First Name:VISWAJIT REDDY
Middle Name:
Last Name:ANUGU
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 1:1514 JEFFERSON HWY.
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121
Mailing Address - Country:US
Mailing Address - Phone:504-842-4000
Mailing Address - Fax:
Practice Address - Street 1:1051 GAUSE BLVD.
Practice Address - Street 2:SUITE 230
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458
Practice Address - Country:US
Practice Address - Phone:985-641-7577
Practice Address - Fax:985-643-0826
Is Sole Proprietor?:No
Enumeration Date:2014-05-22
Last Update Date:2023-04-13
Deactivation Date:2014-12-26
Deactivation Code:
Reactivation Date:2015-02-27
Provider Licenses
StateLicense IDTaxonomies
NY289730207R00000X
LA333581207RC0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease