Reddy, Padmashree B

Reddy, Padmashree B is an individual health care provider with primary practice located at 707 N Logan Ave Danville Polyclinic, Ltd., Danville IL 61832-4360. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Reddy, Padmashree B can be contacted via phone (217) 477-4716.

Contact Information

Primary practice address
707 N Logan Ave Danville Polyclinic, Ltd. Danville IL 61832-4360
Phone: (217) 477-4716
Fax: (217) 444-4965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036083082 Illinois

Profile Details

NPI number 1912948282
LBN Legal business name Reddy, Padmashree B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jan 12th, 2015 - about 11 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 1912948282 NPPES
Indiana MEDICAID 100023560A
Indiana Other 170576
Indiana Other 897141
Indiana MEDICAID 036083082

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