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General NPI Number Information
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NPI Number | 1932604279
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Entity Type | Individual
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Provider Name | NAGA KRISHNAKANTH MADIREDDY M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/28/2018
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 4003 KRESGE WAY SUITE 400
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City | LOUISVILLE
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State | KY
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Zip | 40207
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Country | US
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Telephone | 502-895-7265
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Fax | 502-897-2032
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Provider Business Mailing Address
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Address Line | 4003 KRESGE WAY SUITE 400
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City | LOUISVILLE
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State | KY
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Zip | 40207
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Country | US
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Telephone | 502-895-7265
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Fax | 502-897-2032
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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 | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | 036160482
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 57708
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License Number State | KY
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