Individual
DEVEN REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 MATTHEW ST STE 101, MARIETTA, OH 45750-1656
(740) 568-4150
(740) 568-4151
Mailing address
418 1/2 COLEGATE DRIVE, MARIETTA, OH 45750-9549
(740) 568-4814
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35.132273
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OH
Enumeration date
09/15/2017
Last updated
09/15/2017
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