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NPI Code Detail

MEDICARE: SAUMYA VALASAREDDI DO

MEDICARE: SAUMYA VALASAREDDI DO
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
1207QA0505XAdult Medicine Physician25MA12816600NJ

General Provider Information

NPI Number : 1962145060
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAUMYA VALASAREDDI DO
Provider Business Mailing Address
First Line : 1025 MAXWELL LN
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-6823
Country : US
Telephone Number : 516-359-2665
Fax Number :
Provider Business Practice Location Address
First Line : 1425 BLOOMFIELD ST
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-5505
Country : US
Telephone Number : 516-359-2665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2022
Last Update Date : 09/09/2025

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Directions to “ SAUMYA VALASAREDDI DO” Practice Location

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