Individual
MADANA MOHANA REDDY VALLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1755 N MECKLENBURG AVE, SOUTH HILL, VA 23970-4080
(434) 584-5502
(434) 584-5509
Mailing address
PO BOX 623, SOUTH HILL, VA 23970-0623
(434) 584-5502
(434) 584-5509
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101259209
VA
207X00000X
Orthopaedic Surgery Physician
263173
NY
Other
Enumeration date
04/28/2009
Last updated
01/11/2020
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