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Individual

DR. GADDUM P REDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
Mailing address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
46717
WI
208600000X
Surgery Physician
51246
MN
208600000X
Surgery Physician
Primary
7241
SD
208600000X
Surgery Physician
MD-56382
IA
208600000X
Surgery Physician
R0486
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34550000
WI
Enumeration date
06/03/2006
Last updated
05/19/2026
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