Individual
CHANDAN GOPAL REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 CELEBRATION PL STE A360, CELEBRATION, FL 34747-4970
(407) 975-0200
(407) 550-8045
Mailing address
265 E ROLLINS ST STE 12000, ORLANDO, FL 32804-5571
(407) 975-0200
(407) 975-0209
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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