Individual
ADIREDDY KAMIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2213 CHERRY ST, INTERNAL MEDICINE DEPT., TOLEDO, OH 43608-2603
(419) 251-3232
(419) 251-2393
Mailing address
2200 JEFFERSON AVE, 4TH FLOOR, TOLEDO, OH 43604-7101
(419) 251-1963
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35121159
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084460
—
OH
05
—
1063646628
—
MI
01
—
35121159
OH MEDICAL LICENSE
OH
Enumeration date
05/12/2009
Last updated
02/20/2014
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