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Individual
SRINIVAS-PRASAD REDDY JOLEPALEM
Active
Individual
SRINIVAS-PRASAD REDDY JOLEPALEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01064406A
IN
207R00000X
Internal Medicine Physician
Primary
036084786
IL
207R00000X
Internal Medicine Physician
32848
WI
207RA0401X
Addiction Medicine (Internal Medicine) Physician
01064406A
IN
207RA0401X
Addiction Medicine (Internal Medicine) Physician
036084786
IL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
32848
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL8846
MEDICARE PTAN#
IL
01
—
IL8846001
MEDICARE PTAN#
IL
Enumeration date
11/06/2006
Last updated
01/22/2014
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