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Individual

DR. INDIRA M. REDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
530 NEW WAVERLY PL, SUITE 314, CARY, NC 27518-7414
(919) 858-0892
(919) 342-3472
Mailing address
PO BOX 18563, RALEIGH, NC 27619-8563
(919) 783-4888
(919) 783-4887

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2004-00402
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
137XJ
BCBS
NC
01
259793
WELLPATH
NC
01
7395172
AETNA
NC
05
89137XJ
NC
01
D6259
MEDCOST
NC
Enumeration date
09/26/2005
Last updated
03/08/2016
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