Gundala, Srisudha Reddy
Gundala, Srisudha Reddy is an individual health care provider with primary practice located at 2800 Keslinger Rd Ste 160 , Geneva IL 60134-3753. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gundala, Srisudha Reddy can be contacted via phone (630) 232-7200.Contact Information
Primary practice address
2800 Keslinger Rd Ste 160
Geneva IL 60134-3753
Phone: (630) 232-7200
Fax: (630) 232-2288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036099196 | Illinois |
Profile Details
| NPI number | 1679571236 |
|---|---|
| LBN Legal business name | Gundala, Srisudha Reddy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Jan 31st, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679571236 | NPPES |
| Illinois | MEDICAID | 036099196 |
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