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General NPI Number Information
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NPI Number | 1922569235
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Entity Type | Individual
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Provider Name | KEERTHI REDDY RAMIREDDY MD
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Gender | Female
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Dates
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Enumeration Date | 03/28/2019
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Last Update Date | 08/26/2022
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Provider Practice Location Address
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Address Line | 121 DEKALB AVENUE HOUSE STAFF ADMINISTRATION
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City | BROOKLYN
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State | NY
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Zip | 11201-5425
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Country | US
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Telephone | 718-250-6604
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Fax |
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Provider Business Mailing Address
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Address Line | 121 DEKALB AVE HOUSE STAFF ADMINISTRATION
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City | BROOKLYN
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State | NY
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Zip | 11201-5425
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Country | US
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Telephone | 718-250-6604
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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 | 01087928A
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License Number State | IN
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