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Organization

C G REDDY MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GURU REDDY MD (CEO)
(740) 653-9476
Entity
Organization

Contact information

Practice address
1973 EAST MAIN STREET, LANCASTER, OH 43130-9353
(740) 653-9476
(740) 653-9478
Mailing address
1973 EAST MAIN STREET, LANCASTER, OH 43130-9353
(740) 653-9476
(740) 653-9478

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
35041941
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000118003
ANTHEM
OH
05
0420477
OH
Enumeration date
01/03/2006
Last updated
10/15/2012
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