Individual
MR. PRADEEP GOPALA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3412 OFFICE PARK DRIVE, MARION, IL 62959-1998
(618) 993-0404
(618) 993-1717
Mailing address
3412 OFFICE PARK DRIVE, MARION, IL 62959-1998
(618) 993-0404
(618) 993-1717
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036110081
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
036110081
IL
Other
Enumeration date
08/17/2006
Last updated
06/08/2021
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