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General NPI Number Information
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NPI Number | 1801136148
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Entity Type | Organization
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Legal Business Name | MALIREDDY FAMILY MEDICINE, P.C
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Dates
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Enumeration Date | 02/23/2013
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Last Update Date | 10/16/2014
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Provider Practice Location Address
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Address Line | 106 SCHUBERT DR
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-3382
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Country | US
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Telephone | 484-237-8930
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Fax | 484-593-4668
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Provider Business Mailing Address
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Address Line | 106 SCHUBERT DR
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-3382
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Country | US
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Telephone | 484-237-8930
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Fax | 484-593-4668
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JYOTHIRMAYI MALIREDDY
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Credential | MD
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Telephone | 484-237-8930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | MD433670
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License Number State | PA
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