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Individual

CHANDAN GOPAL REDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
39093
IA
207T00000X
Neurological Surgery Physician
53831
MN
207T00000X
Neurological Surgery Physician
Primary
ME131814
FL
207T00000X
Neurological Surgery Physician
R-7346
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020526100
FL
01
IY844Z
MEDICARE
FL
Enumeration date
05/17/2007
Last updated
09/09/2025
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