Mudireddy, Prashant Reddy

Mudireddy, Prashant Reddy is an individual health care provider with primary practice located at 521 Moye Blvd Ste C3 , Greenville NC 27834-2849. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Mudireddy, Prashant Reddy can be contacted via phone (252) 816-0800.

Contact Information

Primary practice address
521 Moye Blvd Ste C3 Greenville NC 27834-2849
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD433263 Pennsylvania
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 2017-00725 North Carolina

Profile Details

NPI number 1568669661
LBN Legal business name Mudireddy, Prashant Reddy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2007
Last updated Jan 13th, 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 1568669661 NPPES
Pennsylvania MEDICAID 102059064

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