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Proddutur Vittal Reddy, MD

Internal Medicine, Cardiovascular Disease in Ardmore, OK. Individual provider (NPI-1).

NPI number1609946151
StatusActive
Last updated in NPPESJul 15, 2010

Details

NPI
1609946151
Entity type
Individual (NPI-1)
Name
Proddutur Vittal Reddy
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Nov 9, 2006
Last updated
Jul 15, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0000X Internal Medicine, Cardiovascular Disease11121OKYes

Other names

  • P V Reddy (Other Name)

Practice location

925 Nw 15th Ave
Ardmore, OK 73401-1809

Phone 580-223-0011

Mailing address

925 Nw 15th Ave
Ardmore, OK 73401-1809

Phone 580-223-0011

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