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Individual

DR. SAMPREET REDDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19646 N 27TH AVE STE 305, PHOENIX, AZ 85027-4027
(480) 556-0446
(480) 556-0447
Mailing address
20401 N 73RD ST, STE 230, SCOTTSDALE, AZ 85255-4153
(480) 556-0446
(480) 556-0447

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
66669
AZ
207ND0101X
MOHS-Micrographic Surgery Physician
66669
AZ
390200000X
Student in an Organized Health Care Education/Training Program
275251
MA
390200000X
Student in an Organized Health Care Education/Training Program
BP10065917
TX

Other

Enumeration date
06/16/2018
Last updated
10/20/2023
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