Individual
SIDDHARTH BURUGUPALLI REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 WILLOWBROOK RD, COLUMBUS, MS 39705-2015
(662) 240-1412
(662) 240-1949
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD470475
PA
207RI0011X
Interventional Cardiology Physician
Primary
29010
MS
Other
Enumeration date
04/01/2014
Last updated
08/05/2021
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