Individual
GOPAL REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 WALTER NE, SUITE 204, ALBUQUERQUE, NM 87102
(505) 842-5518
(505) 247-8509
Mailing address
500 WALTER NE, SUITE 204, ALBUQUERQUE, NM 87102
(505) 842-5518
(505) 247-8509
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
NM77237
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09449
—
NM
Enumeration date
09/14/2006
Last updated
10/25/2007
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