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Organization
SUDESH S REDDY MD INC
Active
Organization
SUDESH S REDDY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDESH REDDY MD (OWNER)
(740) 387-0650
Entity
Organization
Contact information
Practice address
402 S STATE ST, MARION, OH 43302-5000
(740) 387-0650
(740) 387-9210
Mailing address
402 S STATE ST, MARION, OH 43302-5000
(740) 387-0650
(740) 387-9210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2550707
—
OH
Enumeration date
12/28/2005
Last updated
05/30/2013
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