Individual
PRATYUSHA REDDY GUDIPALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1712 E BROAD ST, RICHMOND, VA 23223-6930
(804) 344-9848
Mailing address
1712 E BROAD ST, RICHMOND, VA 23223-6930
(804) 344-9848
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101268212
VA
Other
Enumeration date
07/19/2017
Last updated
11/10/2020
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