Individual
GURU REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 COPELAND MILL RD STE 2D, WESTERVILLE, OH 43081-8904
(614) 939-2308
(614) 939-2309
Mailing address
23092 SUNFIELD DR, BOCA RATON, FL 33433-7963
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35041941
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
21913-875
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000118003
ANTHEM
OH
05
—
0420477
—
OH
Enumeration date
12/03/2007
Last updated
10/18/2022
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