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Individual

VARDHAN REDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
651 COLLIERS WAY STE 408, WEIRTON, WV 26062-5055
(740) 266-3240
(304) 266-3244
Mailing address
504 GREENBRIER CT, STEUBENVILLE, OH 43953-3335
(740) 266-3240

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
MD417270
PA
2086S0129X
Vascular Surgery Physician
Primary
OH35079717
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1840202000
WV
05
2461992
OH
Enumeration date
10/07/2005
Last updated
09/03/2020
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