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General NPI Number Information
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NPI Number | 1598031866
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Entity Type | Individual
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Provider Name | SATHAVARAM VENUDHAR REDDY MD
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Gender | Male
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Dates
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Enumeration Date | 03/30/2012
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 1228 SW 16TH AVE APT A
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City | GAINESVILLE
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State | FL
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Zip | 32601-8481
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Country | US
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Telephone | 850-294-6809
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Fax |
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Provider Business Mailing Address
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Address Line | 5 MARIGOLD PL
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City | DURHAM
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State | NC
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Zip | 27705-1958
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Country | US
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Telephone | 850-294-6809
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Fax |
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2015-01271
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License Number State | NC
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