Individual
DR. PRADEEP REDDY THODIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 676-4660
(812) 676-4501
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01088443A
IN
207RN0300X
Nephrology Physician
Primary
01088443A
IN
207RN0300X
Nephrology Physician
077321
GA
Other
Enumeration date
07/19/2011
Last updated
10/25/2022
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