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Individual

SURESH D. REDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8777 BROADWAY, SUITE A, MERRILLVILLE, IN 46410-6693
(219) 756-0960
(219) 756-0961
Mailing address
8777 BROADWAY, SUITE A, MERRILLVILLE, IN 46410-6693
(219) 756-0960
(219) 756-0961

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01038650A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200013970
IN
Enumeration date
05/02/2006
Last updated
01/08/2013
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