Individual
RUPA PEDDIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
615 CLINIC DR, LONGVIEW, TX 75605-5172
(903) 212-3105
Mailing address
2400 SUGAR CREEK CIR, LONGVIEW, TX 75605-2580
(214) 334-6831
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
N5514
TX
Other
Enumeration date
05/10/2007
Last updated
07/18/2022
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