Individual
DR. SUSMITHA MARRI REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M B B S FRCR
Contact information
Practice address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 766-3600
Mailing address
PO BOX 840, LIMA, OH 45802-0840
(877) 574-7116
(419) 223-2726
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
241374
MA
2085R0202X
Diagnostic Radiology Physician
Primary
26976
WV
Other
Enumeration date
08/04/2009
Last updated
10/04/2022
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