Reddy, Pramod A

Reddy, Pramod A is an sole proprietor health care provider with primary practice located at 45 Moonbow Plz , Corbin KY 40701-8949. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Reddy, Pramod A can be contacted via phone (606) 523-9010.

Contact Information

Primary practice address
45 Moonbow Plz Corbin KY 40701-8949
Phone: (606) 523-9010
Fax: (606) 523-5923
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 29557 Kentucky

Profile Details

NPI number 1063417996
LBN Legal business name Reddy, Pramod A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Dec 8th, 2020 - about 6 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 1063417996 NPPES
Kentucky Other P01427298 RR MEDICARE
Kentucky Other K000751 RR MEDICARE
Kentucky MEDICAID 64295579 RR MEDICARE

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