Individual
PRATI JAHNU REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 VIRGINIA AVE, COLUMBIA, MO 65212-0001
(573) 882-2663
Mailing address
3944 E PARKSIDE LN, PHOENIX, AZ 85050-5444
(602) 334-6368
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2021020696
MO
Other
Enumeration date
05/17/2021
Last updated
06/29/2021
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