Individual
DR. BABUJI REDDY GANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS/MD
Contact information
Practice address
4455 E 56TH ST, DAVENPORT, IA 52807-2995
(635) 355-2577
(563) 355-4015
Mailing address
4455 E 56TH ST, DAVENPORT, IA 52807-2995
(563) 355-2577
(563) 355-4015
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
EMC0004046
MI
2084P0800X
Psychiatry Physician
Primary
MD-43540
IA
Other
Enumeration date
08/26/2008
Last updated
11/28/2023
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