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Individual

DR. JYOTHIRMAI K REDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7802 W. JEFFERSON BLVD, FORT WAYNE, IN 46804
(260) 625-6636
(260) 459-6625
Mailing address
7802 W. JEFFERSON BLVD, FORT WAYNE, IN 46804
(260) 625-6636
(260) 459-6625

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01040388A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100082350
IN
Enumeration date
11/18/2005
Last updated
05/23/2012
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