Reddy Md Llc | |
3394 Mckelvey Rd Ste 115 Bridgeton MO 63044-2531 | |
(314) 435-5641 | |
(802) 348-3126 |
Full Name | Reddy Md Llc |
---|---|
Speciality | Internal Medicine |
Location | 3394 Mckelvey Rd Ste 115, Bridgeton, Missouri |
Authorized Official Name and Position | Parthasarathi Marapareddigari (OWNER) |
Authorized Official Contact | 3144355641 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Reddy Md Llc 22 Williamsburg Estates Dr Saint Louis MO 63131-1018 Ph: (314) 435-5641 | Reddy Md Llc 3394 Mckelvey Rd Ste 115 Bridgeton MO 63044-2531 Ph: (314) 435-5641 |
NPI Number | 1255930814 |
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Provider Enumeration Date | 10/23/2020 |
Last Update Date | 10/23/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255930814 | NPI | - | NPPES |
1487962494 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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