Reddy, Pradeep Gopala

Reddy, Pradeep Gopala is an individual health care provider with primary practice located at 3412 Office Park Drive , Marion IL 62959-1998. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Reddy, Pradeep Gopala can be contacted via phone (618) 993-0404.

Contact Information

Primary practice address
3412 Office Park Drive Marion IL 62959-1998
Phone: (618) 993-0404
Fax: (618) 993-1717
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 036110081 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036110081 Illinois

Profile Details

NPI number 1649384892
LBN Legal business name Reddy, Pradeep Gopala
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jun 8th, 2021 - about 5 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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