Individual
NAGA KOWSIK REDDY SUDIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 EXECUTIVE DR, DANVILLE, VA 24541-4155
(434) 791-1345
Mailing address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101285919
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2022
Last updated
09/01/2025
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