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Individual
SRIKANTH KOTTAPALLY REDDY
Active
Individual
SRIKANTH KOTTAPALLY REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2073307
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100173420C
—
OK
01
—
250012255
RAILROAD MEDICARE
OK
01
—
P00216400
RAILROAD MEDICARE
OK
Enumeration date
06/26/2006
Last updated
02/21/2017
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