Reddy, Nallu S

Reddy, Nallu S is an individual health care provider with primary practice located at 2776 Cleveland Ave , Fort Myers FL 33901-5855. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Reddy, Nallu S can be contacted via phone (239) 343-2052.

Contact Information

Primary practice address
2776 Cleveland Ave Fort Myers FL 33901-5855
Phone: (239) 343-2052
Fax: (239) 343-5348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME100925 Florida

Profile Details

NPI number 1063687556
LBN Legal business name Reddy, Nallu S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2008
Last updated Mar 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063687556 NPPES
Florida Other 1451X BC/BS
Florida MEDICAID 104692000 BC/BS
Florida Other BH070Y BC/BS

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