Individual
DR. MAHIDHAR MAHASAMUDRAM REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1199 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-1424
(973) 830-7694
Mailing address
12 CEDAR GATE DR, LIVINGSTON, NJ 07039
(848) 992-4223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA11750000
NJ
Other
Enumeration date
04/12/2017
Last updated
12/07/2023
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