Kondareddy, Sreekanth Reddy

Kondareddy, Sreekanth Reddy is an individual health care provider with primary practice located at 4417 Vestal Pkwy E , Vestal NY 13850-3556. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Kondareddy, Sreekanth Reddy can be contacted via phone (607) 729-8833.

Contact Information

Primary practice address
4417 Vestal Pkwy E Vestal NY 13850-3556
Phone: (607) 729-8833
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MT196348 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 282746 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 282746 New York

Profile Details

NPI number 1003120338
LBN Legal business name Kondareddy, Sreekanth Reddy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2010
Last updated Apr 25th, 2017 - about 9 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 1003120338 NPPES
New York MEDICAID 04501915

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