Organization
DR MANOHAR G REDDY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANOHAR G REDDY MD (PHYSICIAN/OWNER)
(321) 752-5544
Entity
Organization
Contact information
Practice address
2551 W EAU GALLIE BLVD, SUITE 101, MELBOURNE, FL 32935-8954
(321) 752-5544
(321) 752-5957
Mailing address
2551 W EAU GALLIE BLVD, SUITE 101, MELBOURNE, FL 32935-8954
(321) 752-5544
(321) 752-5957
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0073885
FL
Other
Enumeration date
07/17/2007
Last updated
08/28/2007
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