Individual
SRI VALLABH REDDY GUDIGOPURAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 MADISON AVE STE 531, MEMPHIS, TN 38103-3438
(901) 448-5814
Mailing address
30 MONTCLAIRE, HATTIESBURG, MS 39402-8164
(803) 762-2855
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
05/04/2024
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