Reddy, Sudhakar

Reddy, Sudhakar is an individual health care provider with primary practice located at 1330 Berdinger Ave. , St. Cloud FL 34769-4707. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Reddy, Sudhakar can be contacted via phone (407) 891-2943.

Contact Information

Primary practice address
1330 Berdinger Ave. St. Cloud FL 34769-4707
Phone: (407) 891-2943
Fax: (407) 593-6854
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0040195 Florida
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME40195 Florida

Profile Details

NPI number 1295763753
LBN Legal business name Reddy, Sudhakar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Mar 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295763753 NPPES
Florida MEDICAID 036023600

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