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Individual
ESPRIN REDDY
Active
Individual
ESPRIN REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301063991
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10062108
RAILROAD MEDICARE
—
01
—
32957900
WI MEDICAID GROUP
—
01
—
32958000
WI MEDICAID GROUP
WI
01
—
32958100
WI MEDICAID GROUP
WI
05
—
34500400
—
WI
01
—
382375778005
CHAMPUS GROUP
—
Enumeration date
01/11/2007
Last updated
04/16/2008
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