Individual
RAMESH KARANGULA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
451 CLARKSON AVE, B BUILDING, ROOM 4101, BROOKLYN, NY 11203-2054
(718) 245-4146
(718) 245-3011
Mailing address
451 CLARKSON AVE, B BUILDING, ROOM 4101, BROOKLYN, NY 11203-2054
(718) 245-4146
(718) 245-3011
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
273574
NY
208600000X
Surgery Physician
35539
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1494757
—
IA
01
—
15806
BCBS
IA
01
—
P00321350
RAILROAD MCRE
IA
Enumeration date
07/04/2006
Last updated
08/17/2015
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