Individual
NAGA PRASUNA MADIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
280 LOONEY ROAD, PIQUA, OH 45356-4149
(937) 773-0012
(937) 773-3712
Mailing address
280 LOONEY ROAD, SUITE 201, PIQUA, OH 45356-4149
(937) 773-0012
(937) 773-3712
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35081903M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2500118
—
OH
Enumeration date
07/08/2005
Last updated
11/15/2016
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