Reddy, Shubhada

Reddy, Shubhada is an sole proprietor health care provider with primary practice located at 221 Ne Glen Oak Ave , Peoria IL 61636. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Reddy, Shubhada can be contacted via phone (309) 495-1640.

Contact Information

Primary practice address
221 Ne Glen Oak Ave Peoria IL 61636
Phone: (309) 495-1640
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 00000000000000000000 Illinois
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X T2251 Texas
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X T2251 Texas

Profile Details

NPI number 1154856607
LBN Legal business name Reddy, Shubhada
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2017
Last updated Jul 23rd, 2024 - about 2 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.

Request for update

Popular Providers