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Individual
SURYA M REDDY
Active
Individual
SURYA M REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A047916
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
A47916
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A479160
—
CA
Enumeration date
10/05/2006
Last updated
01/12/2025
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