Individual
TIYYAGURA S REDDY
Active
Individual
TIYYAGURA S REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME40196
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042172300
—
FL
01
—
110012967
RAILROAD MEDICARE
—
01
—
167251
WELLCARE
FL
01
—
211156
AVMED
FL
01
—
51256
BLUE CROS BLUE SHIELD
FL
Enumeration date
08/13/2006
Last updated
01/19/2017
Update your record
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