Reddy, Sudesh S
Reddy, Sudesh S is an sole proprietor health care provider with primary practice located at 402 S State St Marion, Marion OH 43302-5000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Reddy, Sudesh S can be contacted via phone (740) 387-0650.Contact Information
Primary practice address
402 S State St Marion
Marion OH 43302-5000
Phone: (740) 387-0650
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35-053263 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35-053263 | Ohio |
Profile Details
| NPI number | 1104015775 |
|---|---|
| LBN Legal business name | Reddy, Sudesh S |
| Credentials | MD INC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2007 |
| Last updated | May 30th, 2013 - about 13 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 | 1104015775 | NPPES |
| Ohio | MEDICAID | 0673114 |
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