Banda, Madhusudhan Reddy

Banda, Madhusudhan Reddy is an individual health care provider with primary practice located at 1580 Santa Barbara Blvd , The Villages FL 32159-6827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Banda, Madhusudhan Reddy can be contacted via phone (352) 259-2159.

Contact Information

Primary practice address
1580 Santa Barbara Blvd The Villages FL 32159-6827
Fax: (352) 259-5731
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X ME96957 Florida

Profile Details

NPI number 1164529293
LBN Legal business name Banda, Madhusudhan Reddy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Nov 16th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164529293 NPPES
Florida MEDICAID 277031800
Florida Other 56688

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