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Individual

SATISH BOLLU REDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2727 W DR MARTIN LUTHER KING JR BLVD, SUITE 310, TAMPA, FL 33607-6383
(813) 350-7244
(813) 350-7246
Mailing address
1230 W CORNELIA AVE, APT 1, CHICAGO, IL 60657-1428
(773) 655-8817

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
36110210
IL
207L00000X
Anesthesiology Physician
Primary
ME102274
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME102274
STATE LICENSE
FL
Enumeration date
07/05/2006
Last updated
10/13/2022
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