| Samyuktha C.reddy,m.d.,p.c. | |
|
400 Whitesport Dr Sw Suite 101 Huntsville AL 35801-6452 | |
| (256) 885-2222 | |
| (256) 885-2223 |
| Full Name | Samyuktha C.reddy,m.d.,p.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 Whitesport Dr Sw, Huntsville, Alabama |
| Authorized Official Name and Position | Samyuktha C Reddy (PRESIDENT) |
| Authorized Official Contact | 2568852222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samyuktha C.reddy,m.d.,p.c. 400 Whitesport Dr Sw Suite 101 Huntsville AL 35801-6452 Ph: (256) 885-2222 | Samyuktha C.reddy,m.d.,p.c. 400 Whitesport Dr Sw Suite 101 Huntsville AL 35801-6452 Ph: (256) 885-2222 |
| NPI Number | 1396809828 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 08/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396809828 | NPI | - | NPPES |
| 000038457 | Medicaid | AL | |
| 110194866 | Other | AL | RAILROAD RETIREMENT |
| 38457 | Other | AL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | AL10773 (Alabama) | Primary |
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