Individual
MR. PRADEEP REDDY KATHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 UNSER BLVD SE STE 19100, RIO RANCHO, NM 87124-4740
(505) 224-7000
(313) 745-4052
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD2021-0943
NM
Other
Enumeration date
04/23/2015
Last updated
07/20/2022
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