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Individual

DR. VENKAT MANORANJAN REDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4433 CORPORATION LN STE 195, VIRGINIA BEACH, VA 23462-3363
(757) 622-7000
(757) 623-6708
Mailing address
4433 CORPORATION LN STE 195, VIRGINIA BEACH, VA 23462-3363
(757) 622-7000
(757) 623-6708

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101051339
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6303251
VA
Enumeration date
08/08/2006
Last updated
08/01/2023
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