# GURIJALA N REDDY

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

## Provider details

- **NPI number:** 1134127624
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0203X | Therapeutic Radiology Physician | 12217 | WV | Yes |
| 2085R0203X | Therapeutic Radiology Physician | 35045719 | OH | — |

## Other

- **Enumeration date:** 07/08/2005
- **Last updated:** 12/31/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0123585000 | — | WV |
| 05 | — | 0571411 | — | OH |