Individual
GURIJALA N REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6 FIELDCREST AVE, WHEELING, WV 26003-5645
(304) 281-7928
Mailing address
6 FIELDCREST AVE, WHEELING, WV 26003-5645
(304) 281-7928
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
12217
WV
2085R0203X
Therapeutic Radiology Physician
35045719
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123585000
—
WV
05
—
0571411
—
OH
Enumeration date
07/08/2005
Last updated
12/31/2015
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