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General NPI Number Information
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NPI Number | 1992808992
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Entity Type | Individual
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Provider Name | THIRUPATHI K REDDY MD
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Gender | Male
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 08/24/2021
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Provider Practice Location Address
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Address Line | 175 N JACKSON AVE STE 103
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City | SAN JOSE
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State | CA
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Zip | 95116-1909
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Country | US
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Telephone | 408-272-1600
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Fax | 408-729-1600
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Provider Business Mailing Address
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Address Line | 2333 MOWRY AVE SUITE 300
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City | FREMONT
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State | CA
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Zip | 94538
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Country | US
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Telephone | 510-796-0222
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Fax | 510-796-7760
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A54174
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A54174
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License Number State | CA
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