Praveen A Reddy, PA

NPI #1831539964 in San Juan, Texas

Provider Information

NPI Number: 1831539964
Entity Type: Individual
Name: Praveen A Reddy, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 3, 2013
Last Updated: Nov 14, 2017

Practice Location

Address: 801 W 1ST ST
City: San Juan
State: Texas
ZIP Code: 78589-2276
Phone: (203) 952-3230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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