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Individual
DEEPIKA REDDY RALLA
Active
Individual
DEEPIKA REDDY RALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.206394
LA
207R00000X
Internal Medicine Physician
Primary
MD12345
LA
207RH0000X
Hematology (Internal Medicine) Physician
MD.206394
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
06/12/2012
Last updated
06/03/2022
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