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NPI Code Detail

MEDICARE: DURGA REDDY JONNALAGADDA MD

MEDICARE: DURGA REDDY JONNALAGADDA MD
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
1207R00000XInternal Medicine Physician35.131928OH

General Provider Information

NPI Number : 1336550078
Entity Type Code : Individual
Provider Name (Legal Business Name) : DURGA REDDY JONNALAGADDA MD
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 2120
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 740-852-4100
Fax Number : 740-845-0323
Provider Business Practice Location Address
First Line : 50 N WILSON RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-1214
Country : US
Telephone Number : 614-702-7915
Fax Number : 614-965-6534
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2014
Last Update Date : 05/13/2024

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Directions to “ DURGA REDDY JONNALAGADDA MD” Practice Location

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