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Individual

DR. RAGHU MALLAPURA PURUSHOTHAMA REDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
421 S MAIN ST, CROSSVILLE, TN 38555-5048
(931) 484-9511
Mailing address
421 S MAIN ST, CROSSVILLE, TN 38555-5048
(800) 424-3672
(954) 377-3042

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
54464
TN
208M00000X
Hospitalist Physician
54464
TN

Other

Enumeration date
07/20/2011
Last updated
11/22/2016
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