Individual
VENKATAPURAM GOPIKRISHNA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 48TH ST, VALLEY, AL 36854-3611
(334) 756-8425
(334) 756-8421
Mailing address
1701 48TH ST, VALLEY, AL 36854-3611
(334) 756-8425
(334) 756-8421
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
15576
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000020196
—
AL
01
—
051594983
BCBS OFFICE PROVIDER NUMBER
AL
01
—
051595758
BCBS HOSPITAL PROVIDER ID
AL
01
—
263273039
TAX ID
AL
01
—
510G700445
MEDICARE GROUP
AL
Enumeration date
06/23/2006
Last updated
08/16/2021
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