Individual
DR. NAROTHAMA REDDY AEDDULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
(812) 492-5202
(812) 426-6610
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 492-5202
(812) 426-6610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
236564
MA
207RN0300X
Nephrology Physician
Primary
01076406A
IN
207RN0300X
Nephrology Physician
49452
KY
207RN0300X
Nephrology Physician
69164
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201378050
—
IN
Enumeration date
09/23/2008
Last updated
10/25/2016
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