Individual
KANUBODDU NAGARJUNA REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 NE 87TH AVE STE 220, VANCOUVER, WA 98664-4896
(360) 882-2778
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-4896
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD61164297
WA
207R00000X
Internal Medicine Physician
ME143491
FL
Other
Enumeration date
04/08/2017
Last updated
12/15/2022
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