Reddy, Shantan
Reddy, Shantan is an individual health care provider with primary practice located at 808 Rickert Dr Ste 201 , Naperville IL 60540-0910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Reddy, Shantan can be contacted via phone (630) 355-8300.Contact Information
Primary practice address
808 Rickert Dr Ste 201
Naperville IL 60540-0910
Phone: (630) 355-8300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036129271 | Illinois |
Profile Details
| NPI number | 1881724995 |
|---|---|
| LBN Legal business name | Reddy, Shantan |
| Credentials | MD MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Aug 18th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881724995 | NPPES |
| Illinois | MEDICAID | 036129271 |
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