Reddy, Puli Gopal

Reddy, Puli Gopal is an individual health care provider with primary practice located at 1108 Ross Clark Circle , Dothan AL 36301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Reddy, Puli Gopal can be contacted via phone (334) 793-5105.

Contact Information

Primary practice address
1108 Ross Clark Circle Dothan AL 36301
Phone: (334) 793-5105
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 00008513 Alabama
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 00008513 Alabama

Profile Details

NPI number 1992784714
LBN Legal business name Reddy, Puli Gopal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992784714 NPPES
Other 00416369A GEORGIA MEDICAID
Other 51081439 GEORGIA MEDICAID

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