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Individual
DR. SURENDER REDDY EDLA
Active
Individual
DR. SURENDER REDDY EDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101239065
VA
207Q00000X
Family Medicine Physician
MD429426
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101677202 0001
—
PA
01
—
102470
GEISINGER
PA
01
—
187920
UNISON-WMG
PA
01
—
1879312
HIGHMARK BLUE SHIELD
PA
01
—
20055006
AMERIHEALTH MERCY-WMG
PA
01
—
205115
JOHNS HOPKINS
PA
01
—
2157513
MAMSI-WMG
PA
01
—
261035
UNISON-WMG WFM
PA
01
—
50061854
CAPITAL BLUE CROSS-WMG
PA
01
—
50083184
CAPITAL BLUE CROSS-WMG WFM
PA
01
—
7977899
AETNA
PA
01
—
889580
CAREFIRST MD BCBS
MD
01
—
P006944
GATEWAY-WMG
PA
Enumeration date
07/09/2006
Last updated
09/03/2021
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