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General NPI Number Information
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NPI Number | 1144287863
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Entity Type | Individual
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Provider Name | RAMASUBBAREDDY DHANIREDDY MD
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Gender | Male
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 10/08/2018
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Provider Practice Location Address
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Address Line | 853 JEFFERSON AVE ROUT CENTER FOR WOMEN AND NEWBORNS, SUITE 201
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City | MEMPHIS
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State | TN
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Zip | 38103-2807
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Country | US
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Telephone | 901-448-5950
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Fax | 901-448-1691
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Provider Business Mailing Address
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Address Line | 66 N PAULINE ST SUITE 206
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City | MEMPHIS
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State | TN
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Zip | 38105-5105
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Country | US
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Telephone | 901-448-7642
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Fax | 901-448-8015
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 39709
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License Number State | TN
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