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Individual
PRAKASH PATLOLLA REDDY
Active
Individual
PRAKASH PATLOLLA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
182152
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010182152
BLUE CHOICE
NY
05
—
00357497
—
NY
01
—
MDG569
PREFERRED CARE
NY
01
—
RC60182152
DOCTORS HEALTH PLAN
—
Enumeration date
05/17/2006
Last updated
06/30/2023
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