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Organization

TIYYAGURA S REDDY MD PA

Active
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Organization

TIYYAGURA S REDDY MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIYYAGURA S REDDY MD (OWNER / PROVIDER)
(727) 863-2105
Entity
Organization

Contact information

Practice address
7614 JACQUE RD STE B, HUDSON, FL 34667-7195
(727) 863-2105
Mailing address
PO BOX 21767, TAMPA, FL 33622-1767
(727) 823-2188
(727) 823-9502

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Enumeration date
08/13/2006
Last updated
08/20/2008
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