Prasanthi Reddy in Jacksonville - Pediatrics

Prasanthi Reddy - NPI 1386620870

Prasanthi Reddy is a Pediatrics in Jacksonville, Florida. Prasanthi Reddy practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Prasanthi Reddy is 1386620870. The last update date is 2013-11-12.

Prasanthi Reddy's current location address is 4788 Hodges Blvd, Jacksonville, Florida. You can contact this provider via phone number 9042239100 and fax number 9042239282. The mailing address for Prasanthi Reddy is 4788 Hodges Blvd, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Prasanthi Reddy
Address 4788 Hodges Blvd, Jacksonville, Florida
Phone Number 9042239100
Fax Number 9042239282
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1386620870
Provider Enumeration Date 2005-12-16
Last Updated Date 2013-11-12

Provider Mailing Address Detail

Address 4788 Hodges Blvd
City Jacksonville
State Florida (FL)
Post Code 322247222
Phone Number 9042239100
Fax Number 9042239282

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No ME9115
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
273107000 FL --

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FAQs about Prasanthi Reddy

What is the unique identifier code issued to Prasanthi Reddy by the Centers for Medicare & Medicaid Services (CMS)?

The Prasanthi Reddy has been assigned the NPI (National Provider Identifier) 1386620870. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Prasanthi Reddy?

The Prasanthi Reddy is situated at 4788 Hodges Blvd, in the city of Jacksonville, state of FL, with the zip code 322247222.

What is Prasanthi Reddy's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Prasanthi Reddy is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1386620870 to Prasanthi Reddy?

The Centers for Medicare & Medicaid Services originally issued the 1386620870 to Prasanthi Reddy on 2005-12-16.

When was the information related to Prasanthi Reddy most recently updated or refreshed?

The details pertaining to the Prasanthi Reddy, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-11-12.

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