Boddu, Aditya Reddy
Boddu, Aditya Reddy is an sole proprietor health care provider with primary practice located at 16261 Bass Rd Ste 300 , Fort Myers FL 33908-3671. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Boddu, Aditya Reddy can be contacted via phone (239) 343-6410.Contact Information
Primary practice address
16261 Bass Rd Ste 300
Fort Myers FL 33908-3671
Phone: (239) 343-6410
Fax: (239) 343-4014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01068916A | Indiana |
Profile Details
| NPI number | 1497917744 |
|---|---|
| LBN Legal business name | Boddu, Aditya Reddy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2008 |
| Last updated | Mar 24th, 2021 - about 3 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 | 1497917744 | NPPES |
| Florida | MEDICAID | 104990800 |
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