Srirekha Reddy Madadi in Jacksonville - Adolescent Medicine
Srirekha Reddy Madadi - NPI 1063564730
Srirekha Reddy Madadi is a Adolescent Medicine in Jacksonville, Florida. Srirekha Reddy Madadi practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Srirekha Reddy Madadi is 1063564730. The last update date is 2019-07-19.
Srirekha Reddy Madadi's current location address is 6520 Fort Caroline Rd, Jacksonville, Florida. You can contact this provider via phone number 9047447300 and fax number 9047224271. The mailing address for Srirekha Reddy Madadi is 6520 Fort Caroline Rd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Srirekha Reddy Madadi |
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Address | 6520 Fort Caroline Rd, Jacksonville, Florida |
Phone Number | 9047447300 |
Fax Number | 9047224271 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1063564730 |
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Provider Enumeration Date | 2007-01-16 |
Last Updated Date | 2019-07-19 |
Provider Mailing Address Detail
Address | 6520 Fort Caroline Rd |
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City | Jacksonville |
State | Florida (FL) |
Post Code | 322772044 |
Phone Number | 9047447300 |
Fax Number | 9047224271 |
Provider's Primary Taxonomy Detail
Speciality | Adolescent Medicine |
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Taxonomy | 2080A0000X |
Licence No | 78817 |
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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260426400 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Srirekha Reddy Madadi?
The Srirekha Reddy Madadi has been issued the NPI (National Provider Identifier) 1063564730 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Srirekha Reddy Madadi is located?
The Srirekha Reddy Madadi is situated at the following address: 6520 Fort Caroline Rd, Jacksonville, FL, 322772044.
What is Srirekha Reddy Madadi's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Srirekha Reddy Madadi's specialized field of practice is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2080A0000X.
On what date did the Srirekha Reddy Madadi receive the assignment of its 1063564730 from the Centers for Medicare & Medicaid Services?
The Srirekha Reddy Madadi was issued its 1063564730 by the Centers for Medicare & Medicaid Services on 2007-01-16.
As of what date were the details pertaining to Srirekha Reddy Madadi last refreshed?
The information related to the Srirekha Reddy Madadi, including its address, specialty, and other relevant details, was last updated on 2019-07-19.