Individual
RAGNEEL REDDY BIJJULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12502 WILLOWBROOK RD STE 440, CUMBERLAND, MD 21502-6567
(240) 964-8680
(240) 964-8688
Mailing address
PO BOX 1671, CUMBERLAND, MD 21501-1671
(240) 964-8342
(240) 964-8337
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
27384
WV
207RX0202X
Medical Oncology Physician
Primary
D89753
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366730491
—
WV
01
—
WV7671A
MEDICARE
WV
Enumeration date
07/11/2011
Last updated
06/25/2020
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