Organization
REDDY MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARTHASARATHI MARAPAREDDIGARI MD (OWNER)
(314) 435-5641
Entity
Organization
Contact information
Practice address
3394 MCKELVEY RD STE 115, BRIDGETON, MO 63044-2531
(314) 435-5641
(802) 348-3126
Mailing address
22 WILLIAMSBURG ESTATES DR, SAINT LOUIS, MO 63131-1018
(314) 435-5641
(802) 348-3126
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487962494
—
MO
Enumeration date
10/23/2020
Last updated
10/23/2020
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