Vijaya Sen Reddy Gaddam

NPI #1043674633 in Albany, New York

Provider Information

NPI Number: 1043674633
Entity Type: Individual
Name: Vijaya Sen Reddy Gaddam
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Apr 8, 2016
Last Updated: Jul 21, 2022

Practice Location

Address: 1873 WESTERN AVE
Address 2: SUITE 200
City: Albany
State: New York
ZIP Code: 12203-5028
Phone: (518) 869-1044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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