Reddy, Prathima

Reddy, Prathima is an individual health care provider with primary practice located at 6821 Nw 11Th Pl , Gainesville FL 32605-4216. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is her primary health care specialty. Reddy, Prathima can be contacted via phone (352) 331-3353.

Contact Information

Primary practice address
6821 Nw 11Th Pl Gainesville FL 32605-4216
Phone: (352) 331-3353
Fax: (352) 333-9035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X ME76862 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X ME76862 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X ME76862 Florida

Profile Details

NPI number 1376540187
LBN Legal business name Reddy, Prathima
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Apr 11th, 2017 - about 9 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 1376540187 NPPES
Florida MEDICAID 255169100

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