Individual
MADHUSUDHAN P REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 15TH AVE. W., WILLISTON, ND 58801-3821
(701) 774-7400
(701) 774-7479
Mailing address
3614 142 PLACE NE, BELLEVUE, WA 98007-3231
(318) 675-5000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
11765
ND
2085R0202X
Diagnostic Radiology Physician
14725R
LA
2085R0202X
Diagnostic Radiology Physician
35.094848
OH
2085R0202X
Diagnostic Radiology Physician
60041527
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15376
—
LA
Enumeration date
05/23/2007
Last updated
11/13/2012
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