Individual
DR. PADMA VENUAOPALA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7415 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429
(352) 795-1415
(352) 795-6801
Mailing address
7415 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429
(352) 795-1415
(352) 795-6801
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME0053251
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063386100
—
FL
01
—
07032
BC
—
05
—
250407300
—
FL
Enumeration date
09/28/2006
Last updated
06/06/2012
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