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Individual

ABHISHEK REDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
2017 JEFFERSON ST SW, ROANOKE, VA 24014-2419
(540) 853-0900
Mailing address
213 S JEFFERSON ST STE 625, ROANOKE, VA 24011-1713
(540) 224-5677

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
0101269203
VA
2084P0800X
Psychiatry Physician
Primary
0101269203
VA

Other

Enumeration date
06/26/2014
Last updated
07/16/2021
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