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Individual

RAVI KUMAR REDDY BALIREDDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
401 MATTHEW ST, MARIETTA, OH 45750-1635
(740) 376-1994
(740) 376-1940
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.126149
OH
208600000X
Surgery Physician
0116023243
VA

Other

Enumeration date
04/18/2011
Last updated
02/25/2022
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