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Individual
BALEED VISHNU VARDHAN REDDY
Active
Individual
BALEED VISHNU VARDHAN REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
16557
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000084769
BLUE CROSS
AL
05
—
000084769
—
AL
01
—
00124571
MISSISSIPPI MEDICAID
MS
05
—
009937221
—
AL
01
—
010033CF43756
SECTION 1011
AL
01
—
051534744
BLUE CROSS
AL
01
—
12549
HEALTHSPRING OF ALABAMA
AL
01
—
1595110
EMERGENCY LA MEDICAID
LA
01
—
220010596
RAILROAD MEDICARE
AL
01
—
F43756
VIVA
AL
Enumeration date
07/10/2006
Last updated
11/14/2019
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