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Individual

DR. PRATHIMA NAGIREDDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
400 N BEACH ST STE 104, FORT WORTH, TX 76111-7070
(817) 831-1750
Mailing address
6255 W SUNSET BLVD FL 21, LOS ANGELES, CA 90028-7422
(323) 860-5200
(323) 467-7119

Taxonomy

Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
036-148418
IL
2083P0901X
Public Health & General Preventive Medicine Physician
148418
IL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
T4011
TX
208D00000X
General Practice Physician
75992
GA

Other

Enumeration date
07/06/2011
Last updated
05/02/2024
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