# C G REDDY MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063490803
- **Authorized official:** DR. GURU REDDY MD (CEO)
- **Authorized official phone:** (740) 653-9476

## Contact information

- **Practice address:** 1973 EAST MAIN STREET, LANCASTER, OH 43130-9353
- **Practice address phone:** (740) 653-9476
- **Practice address fax:** (740) 653-9478
- **Mailing address:** 1973 EAST MAIN STREET, LANCASTER, OH 43130-9353
- **Mailing address phone:** (740) 653-9476
- **Mailing address fax:** (740) 653-9478

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 35041941 | OH | Yes |

## Other

- **Enumeration date:** 01/03/2006
- **Last updated:** 10/15/2012