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Individual
MR. PULI PRAVIN REDDY
Active
Individual
MR. PULI PRAVIN REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
240739
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
046220
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TAX ID
26-3609921
GA
Enumeration date
11/20/2007
Last updated
04/12/2018
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