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Individual

DR. KARAN G REDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
483 N SEMORAN BLVD, STE 102, WINTER PARK, FL 32792-3800
(407) 645-1847
(321) 274-0246
Mailing address
483 N SEMORAN BLVD, STE 102, WINTER PARK, FL 32792-3800
(407) 645-1847
(321) 274-0246

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME60109
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME60109
FL
207UN0901X
Nuclear Cardiology Physician
ME60109
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03088
HEALTHEASE MCD PROV ID #
FL
01
043204
GREAT WEST PROV ID #
FL
01
110059670
RAILROAD MEDICARE
FL
01
11589
FHHS PROV ID #
FL
01
15074
BCBS OF FL PROV ID #
FL
01
207947
AMERIGROUP MCD PROV ID #
FL
05
371044100
FL
01
4302087
AETNA PROV ID #
FL
01
597544
HUMANA PROV ID #
FL
01
6328420015
CIGNA PROV ID #
FL
01
672144
FIRST HEALTH PROV ID #
FL
01
975093
UNITED H'CARE PROV ID #
FL
Enumeration date
06/13/2005
Last updated
07/20/2016
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