Reddy, Pesara P

Reddy, Pesara P is an individual health care provider with primary practice located at 2500 W 12Th St The Regional Cancer Ctr, Erie PA 16505. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is her primary health care specialty. Reddy, Pesara P can be contacted via phone (814) 835-9000.

Contact Information

Primary practice address
2500 W 12Th St The Regional Cancer Ctr Erie PA 16505
Phone: (814) 835-9000
Fax: (814) 838-0443
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Therapeutic Radiology 2085R0203X MD034289L Pennsylvania
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD034289L Pennsylvania

Profile Details

NPI number 1548233190
LBN Legal business name Reddy, Pesara P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Mar 31st, 2010 - about 16 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 1548233190 NPPES
Pennsylvania MEDICAID 0006903140001
Pennsylvania MEDICAID 2193611

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