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Individual
YARATHA KEDARNATH REDDY
Active
Individual
YARATHA KEDARNATH REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
006218
GA
367H00000X
Anesthesiologist Assistant
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003112654A
—
GA
05
—
003112654B
—
GA
05
—
003112654C
—
GA
05
—
003112654D
—
GA
01
—
580628385
TRICARE
GA
01
—
625700
WELLCARE
GA
01
—
P01003634
RAILROAD MEDICARE
GA
Enumeration date
08/12/2011
Last updated
06/04/2013
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