Individual
PESARA P REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 W 12TH ST, THE REGIONAL CANCER CTR, ERIE, PA 16505
(814) 835-9000
(814) 838-0443
Mailing address
2500 W 12TH ST, THE REGIONAL CANCER CTR, ERIE, PA 16505
(814) 835-9000
(814) 838-0443
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD034289L
PA
2085R0203X
Therapeutic Radiology Physician
MD034289L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006903140001
—
PA
05
—
2193611
—
OH
Enumeration date
02/13/2006
Last updated
03/31/2010
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