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Individual

NANDI JITENDER REDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2106 HARRISBURG PIKE, SUITE 116, LANCASTER, PA 17601-2644
(717) 544-3600
(717) 544-3604
Mailing address
2106 HARRISBURG PIKE, SUITE 116, LANCASTER, PA 17601-2644
(717) 544-3600
(717) 544-3604

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12946
NH
207RH0003X
Hematology & Oncology Physician
Primary
MD439767
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046725001
TX
05
046725005
TX
01
8K8055
BLUE CROSS
TX
Enumeration date
09/02/2006
Last updated
06/19/2012
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