Individual
GANGA DURGA BHAVANI REDNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3001 S HANOVER ST, BALTIMORE, MD 21225-1233
(410) 350-3565
Mailing address
3001 S HANOVER ST, BALTIMORE, MD 21225-1233
(410) 350-3565
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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