Reddy, Anita
Reddy, Anita is an individual health care provider with primary practice located at 32018 23Rd Ave S , Federal Way WA 98003-6022. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Reddy, Anita can be contacted via phone (253) 839-3030.Contact Information
Primary practice address
32018 23Rd Ave S
Federal Way WA 98003-6022
Phone: (253) 839-3030
Fax: (206) 520-1799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00045818 | Washington |
Profile Details
| NPI number | 1366497497 |
|---|---|
| LBN Legal business name | Reddy, Anita |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Oct 22nd, 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 | 1366497497 | NPPES |
| Washington | Other | AB06402 | MEDICARE GROUP |
| Washington | MEDICAID | 8454357 | MEDICARE GROUP |
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