Individual
DR. PULI GOPAL REDDY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1108 ROSS CLARK CIRCLE, DOTHAN, AL 36301
(334) 793-5105
Mailing address
1118 ROSS CLARK CIRCLE, ANESTHESIA CONSULTANTS MEDICAL GROUP PC STE 700, DOTHAN, AL 36301
(334) 793-5105
(334) 671-5073
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
00008513
AL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
00008513
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00416369A
GEORGIA MEDICAID
—
01
—
51081439
BCBS OF ALABAMA
—
Enumeration date
01/11/2006
Last updated
09/11/2025
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