Prasanthi Reddy in Jacksonville - Adolescent Medicine
Prasanthi Reddy - NPI 1386620870
Prasanthi Reddy is a Adolescent Medicine in Jacksonville, Florida. Prasanthi Reddy practices all healthcare services and medical treatments related to Adolescent Medicine. 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 |
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Address | 4788 Hodges Blvd, Jacksonville, Florida |
Phone Number | 9042239100 |
Fax Number | 9042239282 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1386620870 |
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Provider Enumeration Date | 2005-12-16 |
Last Updated Date | 2013-11-12 |
Provider Mailing Address Detail
Address | 4788 Hodges Blvd |
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City | Jacksonville |
State | Florida (FL) |
Post Code | 322247222 |
Phone Number | 9042239100 |
Fax Number | 9042239282 |
Provider's Primary Taxonomy Detail
Speciality | Adolescent Medicine |
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Taxonomy | 2080A0000X |
Licence No | ME91195 |
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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273107000 | FL | -- |
Post Comment/ Review Below
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 Adolescent Medicine, and the taxonomy classification code that categorizes this area of expertise is 2080A0000X.
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.