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Individual
SURESH K. REDDY
Active
Individual
SURESH K. REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
J5454
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050032199
RR MEDICARE
TX
05
—
41343701
—
TX
01
—
82M419
BCBS
TX
Enumeration date
09/15/2006
Last updated
07/03/2012
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