# DR. CHIRANJEEVI PRAMODNATH REDDY SIDDAGUNTA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114205838
- **Gender:** Man
- **Credential:** MBBS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD-44640 | IA | — |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | 35.C000357 | OH | Yes |
| 2084S0012X | Sleep Medicine (Psychiatry & Neurology) Physician | MD-44640 | IA | — |

## Other

- **Enumeration date:** 07/29/2011
- **Last updated:** 03/24/2023