Reddy, Proddutur Vittal

Reddy, Proddutur Vittal is an individual health care provider with primary practice located at 925 Nw 15Th Ave , Ardmore OK 73401-1809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Reddy, Proddutur Vittal can be contacted via phone (580) 223-0011.

Contact Information

Primary practice address
925 Nw 15Th Ave Ardmore OK 73401-1809
Phone: (580) 223-0011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 11121 Oklahoma

Profile Details

NPI number 1609946151
LBN Legal business name Reddy, Proddutur Vittal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Jul 15th, 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 1609946151 NPPES
Oklahoma MEDICAID 100181280A

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