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Individual

ARUN KUMAR REDDY SOLIPURAM

Active
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Individual

ARUN KUMAR REDDY SOLIPURAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N4120
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD26232
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
028357
OR
01
1505102
PACIFIC SOURCE
05
807513000
ID
01
930830668
GROUP TAX ID
Enumeration date
10/06/2006
Last updated
03/03/2020
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