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Individual

KESHAVA G REDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2200 N SECTION ST, SULLIVAN, IN 47882-7523
(812) 268-4311
(812) 268-2650
Mailing address
7400 AUGUSTA CT, TERRE HAUTE, IN 47802-4991

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01058038A
IN

Other

Enumeration date
10/02/2006
Last updated
07/08/2007
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