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General NPI Number Information
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NPI Number | 1598866774
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Entity Type | Organization
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Legal Business Name | REDDY MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 356 FREEPORT STREET SUITE 207
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City | NEW KENSINGTON
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State | PA
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Zip | 15068
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Country | US
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Telephone | 724-337-7333
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Fax | 724-337-7398
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Provider Business Mailing Address
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Address Line | 356 FREEPORT STREET SUITE 207
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City | NEW KENSINGTON
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State | PA
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Zip | 15068
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Country | US
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Telephone | 724-337-7333
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Fax | 724-337-7398
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Authorized Official
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Title or Position | MD
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Name | SUDMAKAR A REDDY
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Credential | MD
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Telephone | 724-337-7333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD 043886E
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License Number State | PA
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