Organization
GOPAL REDDY M.D., P.C.
Active
Other names
NEW MEXICO VASCULAR DIAGNOSTICS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GOPAL REDDY MD (PRESIDENT)
(505) 842-5518
Entity
Organization
Contact information
Practice address
500 WALTER ST NE STE 204, ALBUQUERQUE, NM 87102-2543
(505) 842-5518
(505) 247-8509
Mailing address
500 WALTER ST NE STE 204, ALBUQUERQUE, NM 87102-2543
(505) 842-5518
(505) 247-8509
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
77-237
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09449
—
NM
Enumeration date
01/02/2008
Last updated
01/02/2008
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