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Individual
SUDESH S REDDY
Active
Individual
SUDESH S REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD INC
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-053263
OH
208000000X
Pediatrics Physician
35-053263
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0673114
—
OH
Enumeration date
10/19/2007
Last updated
05/30/2013
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