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NPI Code Detail

MEDICARE: DR. BHOOMPALLY REDDY MD

MEDICARE: DR. BHOOMPALLY REDDY 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
1208600000XSurgery PhysicianMD423509PA

General Provider Information

NPI Number : 1437150695
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BHOOMPALLY REDDY MD
Provider Business Mailing Address
First Line : 1316 S MAIN ST
Second Line :
City : CLARION
State : IA
Zip : 50525-2019
Country : US
Telephone Number : 515-532-2811
Fax Number :
Provider Business Practice Location Address
First Line : 1316 S MAIN ST
Second Line :
City : CLARION
State : IA
Zip : 50525-2019
Country : US
Telephone Number : 515-532-2811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 01/25/2013

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Directions to “ DR. BHOOMPALLY REDDY MD” Practice Location

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