Organization
MAHENDER M REDDY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY A WELLING (CREDENTIALING SPECIALIST)
(727) 863-5263
Entity
Organization
Contact information
Practice address
7330 STATE ROAD 52, HUDSON, FL 34667-6711
(727) 862-9470
(727) 862-6489
Mailing address
7330 STATE ROAD 52, HUDSON, FL 34667-6711
(727) 862-9470
(727) 862-6489
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME0068848
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378212300
—
FL
Enumeration date
02/26/2010
Last updated
02/26/2010
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