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Individual

SUDHAKKAR K. REDDY

Active
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Individual

SUDHAKKAR K. REDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD12413
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00356001B
GA
05
009802240
AL
01
050062851
RAILROAD MEDICARE
01
3074806
BLUE CROSS BLUE SHIELD OF TN
TN
05
3182255
TN
05
890573K
NC
01
N380217
WELLCARE (GA MEDICAID)
GA
Enumeration date
11/16/2006
Last updated
07/01/2009
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