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Individual

PALLAVI REDDY KUPPIREDDY

Active
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Individual

PALLAVI REDDY KUPPIREDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101253180
VA
208M00000X
Hospitalist Physician
0101253180
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
-028
TRICARE/CHAMPUS
VA
01
10109990
OPTIMA HEALTH
VA
01
1568776540
VIRGINIA PREMIER HEALTH PLAN
VA
05
1568776540
NC
05
1568776540
VA
01
494178
ANTHEM BC/BS
VA
01
PAR
USA MANAGED CARE
VA
Enumeration date
08/02/2010
Last updated
01/15/2020
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