Individual
PRUDVI REDDY PEDAVEETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9155 BOURBON ST APT C, LAUREL, MD 20723-1647
(410) 457-7725
Mailing address
4528 EDMONDSON AVE, BALTIMORE, MD 21229-1506
(410) 566-5565
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19263
MD
Other
Enumeration date
12/17/2012
Last updated
01/25/2020
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