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DR. KAKULAVARAM VENKAT REDDY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2215 BURDETT AVE, SAMARITIAN HOSPITAL CANCER CARE CENTER, TROY, NY 12180-2466
(518) 271-3220
(518) 271-3459
Mailing address
PO BOX 8701, ALBANY, NY 12208-0701
(518) 271-3220
(518) 271-3459

Taxonomy

Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
0420008367
VT
2085R0203X
Therapeutic Radiology Physician
Primary
119336
NY

Other

Enumeration date
07/21/2005
Last updated
07/08/2007
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