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
Phone: (352) 259-2159
Fax: (352) 259-5731
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164529293 | NPPES |
Florida | MEDICAID | 277031800 | |
Florida | Other | 56688 |
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