Reddy, Niveditha Shankara
Reddy, Niveditha Shankara is an individual health care provider with primary practice located at 4211 Van Dyke Rd Ste 200 , Lutz FL 33558-8005. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Reddy, Niveditha Shankara can be contacted via phone (813) 321-6237.Contact Information
Primary practice address
4211 Van Dyke Rd Ste 200
Lutz FL 33558-8005
Phone: (813) 321-6237
Fax: (813) 463-1801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME103829 | Florida |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | ME103829 | Florida |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME103829 | Florida |
Profile Details
| NPI number | 1669482352 |
|---|---|
| LBN Legal business name | Reddy, Niveditha Shankara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Jul 2nd, 2024 - about 2 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 | 1669482352 | NPPES |
| Florida | Other | P00997944 | MEDICARE RAILROAD PROVIDER NUMBER |
| Florida | MEDICAID | 000904100 | MEDICARE RAILROAD PROVIDER NUMBER |
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