Individual
SOUMYA R TIPPIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, MBA
Contact information
Practice address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 983-3000
Mailing address
4286 W WOODS EDGE LN, MUNCIE, IN 47304-6087
(703) 999-0001
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
02007170A
IN
Other
Enumeration date
05/21/2019
Last updated
06/26/2024
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