Individual
RAVI KUMAR REDDY GANGIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 PROSPECT AVE, HOSPITAL INTERNISTS, SYRACUSE, NY 13203-1807
(315) 448-5704
(315) 423-6853
Mailing address
301 PROSPECT AVE, HOSPITAL INTERNISTS, SYRACUSE, NY 13203-1807
(315) 448-5704
(315) 423-6853
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
256990
NY
208M00000X
Hospitalist Physician
Primary
256990
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03230628
—
NY
01
—
P00853861
RAILROAD MEDICARE PTAN
NY
Enumeration date
08/07/2006
Last updated
04/16/2013
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