Organization
NEELUPALLI BOJJI REDDY, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEELUPALLI BOJJI REDDY MD PHD (OWNER)
(410) 420-2108
Entity
Organization
Contact information
Practice address
715 S SHAMROCK RD, BEL AIR, MD 21014-4457
(410) 420-2108
(410) 420-2109
Mailing address
715 S SHAMROCK RD, BEL AIR, MD 21014-4457
(410) 420-2108
(410) 420-2109
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D43760
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191941500
—
MD
01
—
52927305
CAREFIRST BCBS
—
01
—
E368 0001
BCBS FEDERAL
—
Enumeration date
12/12/2006
Last updated
06/10/2011
Update your record
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