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Individual

MOSALI SANJEEVA REDDY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1515 DELHI ST, STE 300, DUBUQUE, IA 52001-6320
(563) 557-8500
(563) 589-4050
Mailing address
1515 DELHI ST, STE 300, DUBUQUE, IA 52001-6320
(563) 557-8500
(563) 589-4050

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20918
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0161505
IA
05
30194600
WI
05
4952165017
IL
Enumeration date
02/03/2006
Last updated
11/05/2021
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