Individual
DHEERA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-2023
(508) 856-1102
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
293364
MA
208600000X
Surgery Physician
293364
MA
208600000X
Surgery Physician
MT207357
PA
Other
Enumeration date
06/12/2014
Last updated
08/15/2022
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