Madadi, Praveen Reddy
Madadi, Praveen Reddy is an sole proprietor health care provider with primary practice located at 130 Highway 252 , Anderson SC 29621-5054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Madadi, Praveen Reddy can be contacted via phone (864) 231-2600.Contact Information
Primary practice address
130 Highway 252
Anderson SC 29621-5054
Phone: (864) 231-2600
Fax: (864) 224-3526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 32138 | South Carolina |
Profile Details
| NPI number | 1538367107 |
|---|---|
| LBN Legal business name | Madadi, Praveen Reddy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2007 |
| Last updated | May 7th, 2014 - about 10 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 | 1538367107 | NPPES |
| South Carolina | MEDICAID | 315527 |
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