Reddy, Sivaprasad M

Reddy, Sivaprasad M is an individual health care provider with primary practice located at 34515 9Th Ave S , Federal Way WA 98003-6761. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Reddy, Sivaprasad M can be contacted via phone (253) 588-7911.

Contact Information

Primary practice address
34515 9Th Ave S Federal Way WA 98003-6761
Phone: (253) 588-7911
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD00016852 Washington
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 16852 Washington

Profile Details

NPI number 1760537385
LBN Legal business name Reddy, Sivaprasad M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated May 5th, 2008 - about 17 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 1760537385 NPPES
Washington MEDICAID 1032580

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