Individual
PRAFUL ANUGU REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6677 W THUNDERBIRD RD STE D148, GLENDALE, AZ 85306-3769
(602) 843-3811
(602) 843-0044
Mailing address
6677 W THUNDERBIRD RD STE D148, GLENDALE, AZ 85306-3769
(602) 843-3811
(602) 843-0044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
26809
AZ
2084N0400X
Neurology Physician
Primary
26809
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432823
—
AZ
Enumeration date
07/16/2006
Last updated
07/21/2022
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