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NPI Code Detail

MEDICARE: MR. NARASIMHA REDDY M.D.

MEDICARE: MR. NARASIMHA REDDY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1173000000XLegal Medicine20532KY
2207X00000XOrthopaedic Surgery Physician20532KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CC1655OTHERKYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134122336
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. NARASIMHA REDDY M.D.
Provider Business Mailing Address
First Line : 106 COLUMNS PLAZA DR
Second Line :
City : GLASGOW
State : KY
Zip : 42141-8068
Country : US
Telephone Number : 270-651-9393
Fax Number : 270-651-8698
Provider Business Practice Location Address
First Line : 106 COLUMNS PLAZA DR
Second Line :
City : GLASGOW
State : KY
Zip : 42141-8068
Country : US
Telephone Number : 270-651-9393
Fax Number : 270-651-8698
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 03/02/2023

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