Kolli Prabhakara Reddy in Williston - Family Medicine
Kolli Prabhakara Reddy - NPI 1073514543
Kolli Prabhakara Reddy is a Family Medicine in Williston, Florida. Kolli Prabhakara Reddy practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kolli Prabhakara Reddy is 1073514543. The last update date is 2007-07-08.
Kolli Prabhakara Reddy's current location address is 520 Sw 5th Ave, Williston, Florida. You can contact this provider via phone number 3525283770 and fax number 3525280691. The mailing address for Kolli Prabhakara Reddy is 520 Sw 5th Ave, Williston, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kolli Prabhakara Reddy |
|---|---|
| Address | 520 Sw 5th Ave, Williston, Florida |
| Phone Number | 3525283770 |
| Fax Number | 3525280691 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1073514543 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 520 Sw 5th Ave |
|---|---|
| City | Williston |
| State | Florida (FL) |
| Post Code | 32696 |
| Phone Number | 3525283770 |
| Fax Number | 3525280691 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | ME21372 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identification code issued to Kolli Prabhakara Reddy by the Centers for Medicare & Medicaid Services?
The Kolli Prabhakara Reddy has been assigned the NPI (National Provider Identifier) 1073514543 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Kolli Prabhakara Reddy's physical address?
The Kolli Prabhakara Reddy is physically located at 520 Sw 5Th Ave, in the city of Williston, FL, with the postal code 32696.
What is Kolli Prabhakara Reddy's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kolli Prabhakara Reddy's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073514543 to Kolli Prabhakara Reddy?
The Centers for Medicare & Medicaid Services originally issued the 1073514543 to Kolli Prabhakara Reddy on 2005-08-09.
As of what date was the information regarding Kolli Prabhakara Reddy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kolli Prabhakara Reddy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.