Individual
DR. VISHWANATH MUKKAMALLA REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2417 AL HIGHWAY 202, ANNISTON, AL 36201-5349
(256) 237-7990
Mailing address
1400 LEIGHTON AVE, ANNISTON, AL 36207-3827
(256) 237-7990
(256) 237-8881
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24178
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01924
BLUE CROSS BLUE SHIELD AL
AL
01
—
04-01961
UNITED
AL
01
—
1980540
FIRST HEALTH
AL
01
—
49536960049
AMA ME NUMBER
AL
Enumeration date
02/14/2006
Last updated
03/21/2020
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