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Individual
DR. PURUSHOTTAM M REDDY
Active
Individual
DR. PURUSHOTTAM M REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME005664
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004106456
AETNA
—
01
—
01245
UNIVERSAL
—
05
—
052954100
—
FL
01
—
09594
WELLCARE
—
01
—
1042
OPTIMUM
—
01
—
10501601
CITRUS HEALTH CARE
—
01
—
110069456
MEDICARE RR
—
01
—
210962
AV-MED
—
01
—
2217334
CIGNA
—
01
—
2504281
GHI
—
01
—
593068073
HUMANA MILITARY
—
01
—
933673
CCN
—
01
—
PRO127
QUALITY DELTA
—
Enumeration date
09/15/2005
Last updated
08/31/2010
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